Coding Specialist

Job Summary

To ensure compliance with Medicare and Medicaid regulations, the full-time remote Coding Specialist will manage all aspects of medical coding and chart auditing, focusing on accurate coding, billing, and documentation practices in a primary care or long-term care environment.

Key Responsibilities:

• Ensure all coding and billing practices comply with Medicare, Medicaid, and commercial insurance regulations while conducting internal audits
• Perform regular chart audits to verify documentation supports coding and billing, collaborating with providers on code usage
• Oversee coding accuracy for medical claims and address billing errors, denials, and appeals in partnership with the revenue cycle team

Required Qualifications:

• Minimum 3 years of experience in medical coding and auditing within a medical practice
• Certification as a CPC, CPMA, or CCS is preferred but not mandatory
• In-depth knowledge of Medicare and Medicaid regulations, CMS guidelines, and OIG compliance programs
• Proficiency in EHR/EMR systems, coding software, and billing platforms
• Prior management or supervisory experience is preferred