Position: Coding Specialist coding Holds and Denials
Overview
We're seeking a seasoned Coding Specialist to conduct high-quality reviews and assign accurate codes to a wide range of patient records. Your work ensures that physician services are properly documented and billed in alignment with medical and legal standards.
What You'll Do
- Assign ICD-10-CM and CPT codes (with modifiers) for professional fee services.
- Review documentation to support accurate coding and billing.
- Validate medical necessity based on local and national guidelines.
- Resolve coding edits, denials, and assist with rebilling when needed.
- Stay current with coding regulations and compliance standards.
- Meet or exceed productivity and quality benchmarks.
- Identify coding issues and contribute to ongoing improvements.
- Participate in departmental meetings and compliance training.
Preferred Qualifications
- AAPC CPC certification (Required) for the last 3 yrs.
- 5+ years of experience in professional fee coding.
- In-depth knowledge of CPT, ICD-10, anatomy/physiology, and Medicare rules.
- Excellent analytical, written, and verbal communication skills.
- Strong attention to detail and ability to work independently.
- High level of discretion with HIPAA and PHI.
- Proficient in Microsoft Office (Word, Excel, Outlook, Teams).
Work Environment & Requirements
- 100% remote with standard business hours.
- Extended computer usage and sitting required.
- Ability to lift up to 30 pounds occasionally.
- Strong focus on compliance, privacy, and quality standards.
Work environment:
- A standard business environment exists with moderate noise levels.
- Ability to lift and move approximately thirty (30) pounds non-routinely.
- Ability to sit for extended periods.
- Extended periods of computer usage
- Handling - seizing, holding, grasping, and fingering of objects, tools, and controls.
- Vision - close vision
- Hearing- the ability to receive detailed information through oral and telephonic communication.