The Coding Specialist translates medical documentation into standardized codes for billing, claim processing, and data analysis. This senior-level, mentoring role requires significant coding experience and a high level of proficiency. The position involves analyzing operative reports and assigning surgical codes according to coding guidelines and payer requirements.
Responsibilities include reviewing clinical documentation for completeness and accuracy, assigning ICD-10, CPT, and HCPCS codes, validating codes recommended by computer-assisted coding software, resolving coding claim edits, collaborating with providers to clarify documentation, and maintaining productivity and quality standards. The role also requires strict adherence to privacy, security, and confidentiality standards.
Licenses and certifications
- AHIMA credential required upon hire: CCA, CCS, CCS-P, RHIT, or RHIA
- AAPC credential required upon hire: CPC-A, CPC, COC, or CIC
Education
- AHIMA or AAPC certification required
Experience
- Medical coding coursework or training applicable to the position
- Minimum of 8 years of coding experience
- Prior experience in facility or professional coding, including INP, ETC, SDS, and OBS
Skills and qualifications
- Knowledge of ICD-10, CPT, and HCPCS coding and coding guidelines
- Strong understanding of medical terminology, anatomy, and physiology
- Proficiency with computers and electronic health record systems
- Experience with coding software, billing software, and related computer programs
- Strong attention to detail
- Strong communication and problem-solving skills
- Ability to work independently
- Effective time-management skills
- Self-motivated
Location
North Dakota, US
Employment Type
Full-time
Experience Level
Senior
Remote work allowed
Yes
Posted
1 month ago