
Chief Medical Coding Specialist
2 days ago
Our organization is seeking a detail-oriented Certified Medical Coder to join our team. The ideal candidate will review clinical documentation, accurately assign codes, and ensure compliance with payer and regulatory guidelines.
Job DescriptionReview and audit provider documentation for coding 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.
Required Skills and Qualifications:
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.
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.
Benefits:
Remote work opportunity.
Standard US business hours (9am-5pm EST).
Others:
Seniority level: Entry level.
Employment type: Full-time.
Job function: Sales, General Business, and Education.
Industry: Healthcare.
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