Certified Medical Coding Specialist

Job Summary

To ensure accurate and timely claim payment, the full-time remote Certified Medical Coding Specialist will independently review, analyze, and resolve assigned front-end scrubs and denied claims while applying established coding guidelines and collaborating with revenue cycle partners.

Key responsibilities

• Review and correct coding-related issues prior to claim submission and resubmit corrected claims or appeal denied claims
• Maintain a minimum of 92% coding accuracy while assigning ICD-10-CM and CPT codes for services provided
• Utilize internal coding resources and payer guidelines to ensure compliant coding practices and uphold HIPAA regulations

Required qualifications

• Current AAPC or AHIMA Coding Certification with a minimum of 3 years of experience
• Strong working knowledge of CPT, ICD-10-CM, medical terminology, and Medicare reimbursement guidelines
• Prior experience in reviewing and correcting coding from insurance denials and submitting corrected claims
• Ability to read, interpret, and apply policies, procedures, and medical documentation accurately
• Demonstrated proficiency in Microsoft Office Suite (Word, Excel, Outlook, Teams)