Coding Support SME

Job Summary

A company is looking for a Coding Support Subject Matter Expert.

Key Responsibilities

• Serve as a liaison between coding teams and providers, delivering expert guidance to resolve inquiries and concerns
• Collaborate with Edits and Denials teams to analyze trends and implement educational initiatives or system edits
• Provide comprehensive coding and documentation training for newly onboarded providers and conduct annual audits

Required Qualifications

• High School Diploma / GED OR equivalent years of work experience
• AHIMA or AAPC coding credentials (e.g., CCS, CPC, RHIT, RHIA)
• 5+ years of coding experience in a healthcare setting with evaluation and management and anesthesia
• Understanding of ICD-10, CPT, HCPCS, and official coding guidelines
• Experience with researching and interpreting complex coding guidelines and payer policies