Certified Coding Specialist
New
N
nameHealthcare Coding
United StatesFull-TimeJunior
Salary not disclosed
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Job Details
- Experience
- 2+ years of inpatient and/or outpatient facility coding preferred.
- Required Skills
- Microsoft OfficeHIPAA
Requirements
- Active CPC, COC, CCS, or CIC certification.
- 2+ years of inpatient and/or outpatient facility coding experience preferred.
- Strong knowledge of ICD-10-CM, ICD-10-PCS, CPT, and HCPCS Level II coding.
- Proficiency with DRGs, APCs, NCCI edits, and LCD/NCDs.
- Understanding of CMS regulations and Official Coding Guidelines.
- Experience using coding encoders and electronic medical record systems.
- Ability to work independently and prioritize work to meet deadlines.
- Strong analytical skills with attention to detail.
- Excellent communication and Microsoft Office skills.
Responsibilities
- Review inpatient, outpatient, ED, observation, surgery, and ancillary records.
- Assign accurate ICD-10-CM, ICD-10-PCS, CPT, HCPCS, and modifier codes.
- Review coding edits and work queues prior to claim submission.
- Validate that documentation supports code assignment.
- Query providers when documentation is incomplete or conflicting.
- Review coding-related payer denials and perform root cause analysis.
- Correct coding errors causing claim rejections and recommend appeals.
- Collaborate with CDI, billing, providers, and revenue integrity teams.
- Maintain HIPAA compliance and meet departmental productivity and QA standards.
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