The Coding Specialist is a member of the Coding Department within Revenue Cycle Management. This role is responsible for abstracting CPT, HCPCS, ICD-10-CM, modifier, and unit information from medical record documentation for pro-fee billing.
Schedule: Monday-Friday, 8:00 AM-4:30 PM
Essential duties:
- Review medical records and assign accurate ICD-10-CM, CPT, and HCPCS codes based on payer, provider, and location billing requirements.
- Ensure coding compliance with federal regulations, payer policies, and industry standards.
- Identify and resolve documentation deficiencies and communicate with providers when clarification is needed.
- Validate that documentation supports level of service selection.
- Use coding software, encoders, and other department resources.
- Stay current on coding updates, payer guidelines, and healthcare regulations.
- Maintain strict HIPAA compliance and confidentiality.
- Optimize claims for accurate, maximum reimbursement.
- Support overall revenue cycle efficiency.
- Meet department productivity goals.
- Perform other duties as assigned.
Requirements & Qualifications
Education:
- High school diploma or equivalent required
Qualifications:
- Active coding certification through AAPC or AHIMA (CPC, CIC, COC, CRC, CPMA, CCS, CCS-P, RHIA, RHIT, CPC-A, etc.)
- Minimum of 1 year of hands-on medical coding experience
- Strong working knowledge of ICD-10, CPT, and HCPCS coding systems
- Ability to work independently
- Strong knowledge of MDM leveling and E/M coding guidelines
- Fluent written and spoken English required
Benefits & Perks
Benefits include:
- Competitive wages
- Medical, dental, and vision coverage available on the first day of employment
- Disability and life insurance within 90 days
- Company-paid group life insurance
- Company-paid short-term disability and long-term disability
- Paid time off (PTO)
- 401(k) plan and profit sharing
- Career advancement opportunities
Location
Pennsylvania, US
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
No
Posted
2 weeks ago
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