Rhode Island Licensed Coding Specialist

Job Summary

Working remotely on a full-time basis, a Rhode Island Licensed Coding Specialist will review outpatient clinical documentation, assign appropriate ICD-10-CM and CPT codes, and ensure compliance with coding guidelines while maintaining productivity and quality standards.

Key responsibilities:

• Assign accurate APC codes and resolve coding edits using 3M 360 Finder, adhering to National Correct Code Initiative Edits
• Ensure medical record documentation supports code assignments and report any documentation insufficiencies to physicians
• Monitor and resolve rejected accounts on the Claims Edit Report and maintain timely coding and billing processes

Required qualifications:

• High school diploma or equivalent, with successful completion of a formal coding educational program
• Coding certification from AHIMA or AAPC is required
• One to two years of experience in outpatient coding or billing
• Ability to read and understand outpatient clinic medical record documentation
• Proficiency in maintaining established quality and productivity standards