The Medical Coding Specialist is responsible for reviewing medical records and encounter documentation to ensure accurate, complete, and compliant coding in accordance with ICD-10-CM and CPT guidelines. This role supports compliant billing practices, maximizes reimbursement, and ensures adherence to federal, state, and payer regulations, including requirements specific to Federally Qualified Health Centers (FQHCs).
Responsibilities include reviewing and analyzing patient records for coding accuracy, assigning diagnosis and procedure codes, applying coding guidelines and regulatory requirements, communicating with providers to clarify documentation, providing education on documentation best practices, supporting billing processes, maintaining confidentiality and security of patient information under HIPAA, and pursuing ongoing professional development.
This position collaborates with providers, billing staff, and healthcare team members to promote best practices in clinical documentation and coding accuracy.
Proficiency in medical terminology, ICD-10-CM, and CPT coding systems Strong attention to detail and accuracy Knowledge of FQHC billing and reimbursement regulations Preferred experience with EPIC Effective written and verbal communication skills Ability to work collaboratively with diverse clinical and administrative teams Associate’s Degree in Health Information Management or related field required Professional coding certification (CPC, CCS, or equivalent) required Minimum of 3–4 years of professional fee coding experience Commitment to continuous learning and staying current with coding regulations and healthcare requirements
Location
New York, US
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
Yes
Posted
1 month ago