Senior Coding Specialist (Multi-Specialty)

This role is a remote US based position.

The ideal candidate will have a strong multispecialty background including surgery, Interventional Radiology, and E/M.

The Senior Coding Specialist is responsible for abstracting all E/M, CPT, HCPCS, ICD-10-CM, modifier, and units from medical record documentation. Responsibilities include accurately entering data into coding/billing software or Excel reports, performing accurate coding using guidelines and facility protocols, and communicating with staff and providers as needed. The role also includes providing written feedback on coding results, ensuring compliance with federal and state laws and standards related to health information and coding principles.

Tasks include assigning ICD-10 CM and CPT codes with modifiers, reviewing medical records to determine appropriate codes, ensuring diagnosis codes meet medical necessity guidelines, utilizing coding resources for accuracy, maintaining client worksheets and deliverables, monitoring clients for compliance concerns, using facility encoder software and EMR systems remotely, proficiency with Microsoft Office applications, reviewing and resolving coding edits and denials, assisting with rebilling accounts, supporting provider education and documentation improvement, identifying documentation trends, maintaining knowledge of laws and regulations impacting coding, meeting coder productivity and quality goals, and maintaining a 95% accuracy rate.

Qualifications include a High School Diploma or GED, at least four years professional fee coding experience, ability to code multiple specialties with accuracy and productivity, research skills for coding questions, certification through AAPC or AHIMA (CPC, COC, CCS, CCS-P, RHIT, RHIA), knowledge of ICD, CPT, HCPCS, anatomy, physiology, medical necessity, modifiers, and denials, excellent writing and interpersonal skills, and ability to work independently.

Knowledge in organizational policies, coding documentation and reimbursement, healthcare administration and business principles, clinical healthcare coding processes, and health insurance policies relevant to claims processing is required.

Skills required include effective communication with coding, clinical and administrative staff, attention to detail, analytical and writing skills, ability to establish professional relationships, organizational and problem-solving skills, initiative, judgement, discretion, decision-making ability, and proficiency in MS Word, Excel, and PowerPoint.