
Medical Code Expert
16 hours ago
Job Summary:
We are seeking a highly skilled and detail-oriented Coding Specialist to join our team. The ideal candidate will have strong coding expertise, sharp analytical skills, and excellent communication abilities.
Key Responsibilities:Review and audit clinical documentation for accuracy and completeness.
Assign or suggest appropriate ICD-10-CM and CPT codes in compliance with CMS and payer guidelines.
Communicate with providers for clarification when documentation is unclear or insufficient.
Identify documentation gaps, coding trends, and opportunities for provider education or process improvements.
Collaborate with billing staff and team leads to resolve coding-related issues.
Stay current with coding updates, payer policy changes, and specialty-specific coding rules.
Ensure all charts meet compliance standards and support appropriate reimbursement.
Contribute to denial prevention by supporting clean claim submission through thorough documentation review.
Maintain strict HIPAA compliance and confidentiality in all activities.
Certified Professional Coder (CPC) from AAPC (active status required).
Minimum of 2 years' experience in medical coding for U.S.-based providers.
Strong knowledge of ICD-10-CM and CPT coding systems.
Solid understanding of medical terminology, anatomy, and physiology.
Familiarity with U.S. payer guidelines, NCCI edits, and CMS rules.
Experience with EMR/EHR systems such as WRSHealth, eClinicalWorks, Athenahealth, Kareo, DrChrono, etc.
High attention to detail and strong coding accuracy.
Ability to work independently and meet deadlines.
Comfortable working graveyard shift (U.S. hours).
Stable internet connection.
Excellent written and verbal English communication skills.
Coding experience in specialty areas such as Behavioral Health/Psychiatry, ENT, or Internal Medicine.
Exposure to denial handling and billing workflows Additional certifications such as CPMA or CRC.
Background in RCM or BPO coding environments.
Remote work opportunity.
Available during standard US business hours (9am-5pm EST).
Entry level.
Employment Type:Full-time.
Job Function:Sales, General Business, and Education.
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