Coding Specialist
JOB DESCRIPTION:
We are seeking a detail-oriented and experienced RCM Coding Specialist with CPC (Certified Professional Coder) certification to join our Revenue Cycle Management team. This role is responsible for accurate and timely medical coding in accordance with current coding guidelines, payer requirements, and company standards. The ideal candidate has strong analytical skills, in-depth knowledge of CPT, ICD-10, and HCPCS codes, and a commitment to ensuring compliance and optimizing reimbursement.
ESSENTIAL FUNCTIONS:
β Serve as an medical coding subject matter expert who can effectively work with other staff to impart best practices related to revenue cycle management/coding within a telehealth setting.
β Review and abstract clinical documentation to assign appropriate CPT, ICD-10, and HCPCS codes.
β Ensure coding accuracy to optimize reimbursement while maintaining compliance with federal regulations, payer policies, and internal protocols.
β Perform regular audits of coded data to ensure quality and identify opportunities for education or process improvement.
β Stay current with industry changes including coding updates, payer guidelines, and regulatory requirements (e.g., CMS, HIPAA).
β Support RCM team in coding-related appeals or re-submissions.
β Maintain strict confidentiality of all patient, provider, and organizational data.
β Identifies problem areas and trends encountered while working with any team or department and communicates findings to management.
β Remains proficient in the use of specific applications related to the coding teamβs function, i.e. billing systems, EMRs, internal portals, team communication tools, etc.
β Other duties as assigned.
EDUCATION & EXPERIENCE:
β Certification Required: CPC/CPC-A (Certified Professional Coder) from AAPC. Additional certifications (e.g., CRC, CPC-H) are a plus.
β Experience: Minimum 2β3 years of professional coding experience, preferably in a Revenue Cycle Management setting. β Education: High school diploma or equivalent required.
β Strong knowledge of medical terminology, anatomy, and physiology.
β Strong organizational and time management skills with attention to detail.
β Proficient in CPT, ICD-10, and HCPCS coding systems.
β Experience with Candid Health billing software is a plus.
KNOWLEDGE, SKILLS & ABILITIES:
β Intermediate knowledge of revenue cycle processes and best practices
β Prior experience with coding audits or quality assurance processes.
β Ability to prioritize work and manage time efficiently
β Self-motivated, able to work autonomously, multi-task and switch focus quickly
β Strong organizational skills and attention to detail
β Ability to meet deadlines
β Ability to apply good judgment and expertise
β Excellent written and verbal communication skills
β Experience in multiple specialties
COMPENSATION:
β’ The base pay range for this role is $26,000 β $30,000 per year.
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We are seeking a detail-oriented and experienced RCM Coding Specialist with CPC (Certified Professional Coder) certification to join our Revenue Cycle Management team. This role is responsible for accurate and timely medical coding in accordance with current coding guidelines, payer requirements, and company standards. The ideal candidate has strong analytical skills, in-depth knowledge of CPT, ICD-10, and HCPCS codes, and a commitment to ensuring compliance and optimizing reimbursement.
ESSENTIAL FUNCTIONS:
β Serve as an medical coding subject matter expert who can effectively work with other staff to impart best practices related to revenue cycle management/coding within a telehealth setting.
β Review and abstract clinical documentation to assign appropriate CPT, ICD-10, and HCPCS codes.
β Ensure coding accuracy to optimize reimbursement while maintaining compliance with federal regulations, payer policies, and internal protocols.
β Perform regular audits of coded data to ensure quality and identify opportunities for education or process improvement.
β Stay current with industry changes including coding updates, payer guidelines, and regulatory requirements (e.g., CMS, HIPAA).
β Support RCM team in coding-related appeals or re-submissions.
β Maintain strict confidentiality of all patient, provider, and organizational data.
β Identifies problem areas and trends encountered while working with any team or department and communicates findings to management.
β Remains proficient in the use of specific applications related to the coding teamβs function, i.e. billing systems, EMRs, internal portals, team communication tools, etc.
β Other duties as assigned.
EDUCATION & EXPERIENCE:
β Certification Required: CPC/CPC-A (Certified Professional Coder) from AAPC. Additional certifications (e.g., CRC, CPC-H) are a plus.
β Experience: Minimum 2β3 years of professional coding experience, preferably in a Revenue Cycle Management setting. β Education: High school diploma or equivalent required.
β Strong knowledge of medical terminology, anatomy, and physiology.
β Strong organizational and time management skills with attention to detail.
β Proficient in CPT, ICD-10, and HCPCS coding systems.
β Experience with Candid Health billing software is a plus.
KNOWLEDGE, SKILLS & ABILITIES:
β Intermediate knowledge of revenue cycle processes and best practices
β Prior experience with coding audits or quality assurance processes.
β Ability to prioritize work and manage time efficiently
β Self-motivated, able to work autonomously, multi-task and switch focus quickly
β Strong organizational skills and attention to detail
β Ability to meet deadlines
β Ability to apply good judgment and expertise
β Excellent written and verbal communication skills
β Experience in multiple specialties
COMPENSATION:
β’ The base pay range for this role is $26,000 β $30,000 per year.
Apply tot his job
Apply To this Job