Certified Medical Coding Specialist

Job Summary

Delivering high-quality healthcare coding services, the full-time Certified Medical Coding Specialist will work remotely to ensure accurate coding compliance, optimize revenue through proper code assignments, and support member organizations in achieving appropriate reimbursement.

Key responsibilities

• Provide efficient and accurate coding services while ensuring compliance with payer requirements and coding guidelines
• Extract and interpret clinical data from medical records to support accurate code assignment
• Review patient encounters to assign appropriate diagnosis and procedure codes, enhancing revenue cycle efficiency

Required qualifications

• Minimum 2 years of experience in outpatient and inpatient billing and/or coding revenue cycle
• Working knowledge of Medicare, Medicaid, and private insurance billing and reimbursement processes
• Certification in medical coding from AAPC (CPC) or AHIMA (CCS), along with current certification from ADCA (CDC)
• Certified Inpatient Coder (CIC) or AHIMA Inpatient certification required for inpatient coding
• Completion of a competency assessment prior to team interview