Professional Coding Specialist II - Edits

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JobgetherHealthcare coding

You can work remotely from anywhere in the United StatesFull-TimeMiddle

Salary not disclosed

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Job Details

Have a high school diploma or equivalent.
Hold a current professional HIM or medical coding certification through AHIMA or AAPC.
Have at least 2 years of professional medical coding experience.
Have physician-office coding experience; at least 2 years of relevant experience is preferred.
Know anatomy, physiology, medical terminology, and medical coding principles.
Accurately apply ICD-10, CPT, and modifier coding requirements.
Understand documentation requirements, reimbursement principles, compliance standards, and coding guidelines.
Maintain accuracy in high-volume workloads and during frequent interruptions.
Prioritize and organize assignments while meeting quality and productivity expectations.
Work effectively in a fully remote environment and maintain consistent productivity and communication.
Use computers, electronic medical records, spreadsheets, and other digital tools extensively.
Sit for extended periods and perform the computer-based functions required for the role.
Lift, push, or pull up to 10–20 pounds when required by the work environment.

Review and interpret medical record documentation to identify diagnoses and procedures for inpatient stays and outpatient encounters.
Assign ICD-10, CPT, and appropriate modifier codes based on documented diagnoses, procedures, and clinical services.
Complete coding, charging, and account abstraction accurately and within required daily timelines.
Review documentation to ensure records support accurate coding, reimbursement, compliant billing, and regulatory requirements.
Identify missing or incomplete documentation and communicate with providers and other stakeholders to obtain needed information.
Monitor provider documentation and perform coding audits to assess accuracy and identify opportunities for improvement.
Provide education and feedback to providers when documentation or coding issues are identified.
Research and resolve missing charges, problem accounts, and reimbursement-related issues using financial and clinical information.
Support Revenue Cycle Operations with claim development and account-resolution activities.
Maintain coding knowledge through quality reviews, education sessions, seminars, meetings, reference materials, and coding guideline updates.

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