Medical Coding Specialist
7 days ago
We are seeking a detail-oriented medical coding specialist to join our team. This role involves reviewing clinical documentation and accurately assigning codes to ensure clean claim submission and compliance with payer and regulatory guidelines.
Main Responsibilities:- Review and audit provider documentation (chart notes) 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 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
This position offers a unique opportunity to grow professionally while maintaining a stable work environment.
Please submit your application if you have the necessary qualifications and skills for this role.
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