Certified Medical Coding Specialist

Job Summary

As a Certified Medical Coding Specialist, the full-time remote position will interpret behavioral health documentation and coding results, provide actionable feedback to providers, and serve as a subject matter expert on coding and billing inquiries in a supportive environment.

Key responsibilities

• Interpret behavioral health documentation and coding review results, translating them into clear provider education and feedback
• Determine the accuracy of flagged findings, confirming genuine errors and identifying incorrect flags for correction
• Answer provider and internal team questions on behavioral health coding and documentation, delivering clear and empathetic responses

Required qualifications

• Certified Professional Coder (CPC) certification is required, along with 1-2 years of experience in outpatient or professional-services coding
• Strong grasp of ICD-10-CM, CPT, and HCPCS coding guidelines and documentation requirements
• Ability to independently reach correct coding conclusions and defend them against review results
• Experience in educating providers on medical decision making for outpatient Evaluation and Management services is preferred
• Tech-savvy and comfortable working in a fast-paced, digital environment