The Certified Coding Specialist reviews patient records, test results, and supporting documentation to assign accurate billing codes in compliance with government and insurance regulations. This role is part of the Revenue Cycle team and works closely with providers and clinic staff to resolve coding issues, support charge entry, and improve reimbursement outcomes.
Key responsibilities include:
- Review provider charges against chart documentation in the EMR to ensure CPT, HCPCS, modifiers, and ICD-10 codes are billed with the highest level of specificity.
- Audit medical records for missing or erroneous services.
- Enter hospital, surgical center, and other external charges accurately into the EMR.
- Collaborate with providers, medical assistants, and clinic managers to resolve coding-related issues.
- Participate in educational activities and provider learning discussions.
- Review coding-related denials to help maximize reimbursement.
- Maintain strict HIPAA compliance and confidentiality.
Requirements & Qualifications
Qualifications
- High school diploma or equivalent required.
- Current Certified Professional Coder (CPC) certification required.
- One year of experience working as a certified coder in a medical setting preferred.
- One year of Epic EMR experience preferred.
Skills
- Strong knowledge of CPT, HCPCS, and ICD-10 coding guidelines.
- Knowledge of federal guidelines, coding principles, and payer guidelines.
- Strong understanding of medical terminology, anatomy and physiology, and basic clinical procedures, diseases, and injuries.
- Excellent communication, time management, prioritization, and problem-solving skills.
Benefits & Perks
None specified.
Location
Washington, US
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
No
Posted
4 weeks ago