Medical Coding Specialist

MAKE A DIFFERENCE AT OCHIN

OCHIN is a nonprofit leader in health care innovation and a trusted partner to a growing national provider network, delivering the clinical insights and tailored technologies needed to expand patient access, strengthen care teams, and improve the health of rural and medically underserved communities.

We are hiring for a number of new positions to meet increasing demand. When you choose to join OCHIN, you have the opportunity to continuously grow your skills and do meaningful work to help fulfill our vision of good health and well-being for everyone.

At OCHIN, we value the unique perspectives and experiences of every individual and work hard to maintain a culture rooted in our values.

Founded in Oregon in 2000, OCHIN employs a growing virtual workforce of more than 1,200 skilled professionals, working remotely across 49 states. We offer a generous compensation package and are committed to supporting our employees’ entire well-being by fostering a healthy work-life balance and opportunity for professional advancement. We are curious, collaborative learners who strive to live our values every day. OCHIN is excited to support our continued national expansion and the increasing demand for our innovative tools and services by welcoming new talent to our growing team.

Position Overview

The Coding Specialist plays a critical role in delivering accurate and high-quality healthcare coding services to OCHIN member clinics and acute care hospital organizations. This position is responsible for identifying potential high-risk coding trends, applying best practices to optimize revenue, and enhancing coding accuracy to support a streamlined and efficient revenue cycle.

The Coding Specialist proactively escalates complex or unique coding issues, collaborates with supervisors to resolve challenges, and applies newly acquired knowledge to future scenarios. Additionally, this role contributes to continuous improvement efforts by recommending process enhancements that increase operational efficiency and effectiveness.

Essential Functions

• Accurate and Compliant Coding: Deliver efficient and accurate coding services on behalf of member clients, ensuring full compliance with payer requirements, organizational policies, and all applicable coding guidelines.
• Clinical Data Abstraction: Extract and interpret relevant clinical data — including diagnoses and procedures — from patient medical records and electronic health systems to support accurate code assignment.
• Code Assignment and Validation: Review and analyze patient encounters to assign appropriate diagnosis and procedure codes, ensuring accuracy and completeness for all relevant clinical information.
• Reimbursement Optimization: Support member organizations in achieving appropriate reimbursement by reviewing and recommending accurate code assignments that are critical to third-party payer claims.
• Provider Communication and Documentation Follow-Up: Conduct research and obtain additional information from providers or clinical staff via Epic In-Basket messaging, as needed and in accordance with established agreements.
• Other duties as assigned.

Requirements

• Experience in billing and/or coding revenue cycle experience preferred.
• Working knowledge of Medicare, Medicaid, MVA, Workers Comp and private insurance billing and reimbursement processes, legal requirements knowledge preferred.
• Required certifications for Outpatient include:
  • Medical coding from AAPC (CPC Certificate) or AHIMA (CCS Certificate) and current certification from ADCA (CDC certificate).
• Required certifications for Inpatient include:
  • Certified Inpatient Coder (CIC) or AHIMA Inpatient certification.
• Prior to moving forward to the team interview, all candidates are required to complete a 50–60-minute competency assessment.

Work Location and Travel Requirements

OCHIN is a 100% remote organization with no physical corporate office location. Employees work remotely from home and many positions support member organizations on-site for new software installations. Nationwide travel may be up to 20% for on-site Go Live support based on business requirements.

Work From Home Requirements

• Ability to work independently and efficiently from a home office environment.
• High Speed Internet Service.
• Distraction free workplace.

COVID-19 Vaccination Requirement

All employees are required to be vaccinated against COVID-19 or have an approved exemption.

Equal Opportunity Statement

OCHIN is an equal opportunity employer committed to diversity and inclusion.

Base Pay Overview

OCHIN uses broadened pay bands to support equitable and market-aligned compensation practices. Final offers are based on multiple factors including skills, certifications, education, experience, and internal equity.