Rhode Island Licensed Coding Specialist

Job Summary

To support outpatient coding efforts, the full-time Rhode Island Licensed Coding Specialist will review clinical documentation, assign appropriate ICD-10-CM and CPT codes, and ensure compliance with coding guidelines while working remotely.

Key responsibilities

• Assign accurate APC and coding edits using 3M 360 Finder, ensuring adherence to National Correct Code Initiative Edits
• Review medical records to confirm documentation supports code assignments and report any insufficiencies to physicians
• Monitor and resolve rejected accounts on the Claims Edit Report, researching coding conflicts and updating patient financial accounts as needed

Required qualifications

• High school diploma or equivalent, with successful completion of a formal coding educational program
• Coding certification from the American Health Information Management Association (AHIMA) or the American Academy of Professional Coders (AAPC)
• 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