Certified Medical Coding Specialist

Job Summary

To ensure accurate and timely claim submission, the full-time Certified Medical Coding Specialist will independently review, analyze, and resolve front-end claims while working remotely.

Key responsibilities

• Review and assign ICD-10-CM and CPT codes for services provided, maintaining a minimum of 90% coding accuracy
• Collaborate with revenue cycle partners to prevent claim rejections and support efficient reimbursement processes
• Stay updated on laws, regulations, and payer policies impacting compliant coding practices

Required qualifications

• Current AAPC or AHIMA Certification with a minimum of 3 years of experience
• Strong knowledge of CPT, ICD-10-CM, medical terminology, and Medicare reimbursement guidelines
• Prior experience in a medical billing environment with strict adherence to HIPAA compliance
• Demonstrated ability to exercise independent judgment in coding and claim resolution
• Proficiency in Microsoft Office Suite (Word, Excel, Outlook, Teams)