Coding Specialist

Job Description: Assign accurate ICD-10-CM, PCS, CPT, and HCPCS codes from provider documentation and clinical recordsApply official guidelines, payer policies, NCCI edits, and modifier rules to improve clean-claim ratesReview charts for specificity, medical necessity, and documentation gaps; escalate to CDI/provider queries as neededSupport denial prevention and resolution by analyzing claim edits and root causesMaintain productivity and accuracy targets and document coding rationaleProtect PHI and follow HIPAA/security best practices in a fully remote environmentCollaborate with billing, AR, compliance, and clinical teams to improve revenue cycle performanceAssist in other duties as assignedRequirements: Active credentials such as CPC, CCS, CIC, COC, or CRC (coding certification must be role-aligned)3+ years of experience in medical coding for professional fee and facilitySpeciality coding experience (ER, IP, OBS, Swing) strongly preferredExperience with coding audits, second-level reviews, and coder coaching preferredFamiliarity with denial management, payer policy research, and appeals support preferredStrong knowledge of ICD-10-CM, PCS, CPT, HCPCS, modifiers, and E/M guidelinesExperience with encoder/grouper tools, EHR workflows, and claim edit concepts (e.g., NCCI)Experience coding without encoder/grouper toolsWorking knowledge of HIPAA, documentation standards, and audit expectationsAbility to work independently in a remote, metric-driven environment.Benefits: Comprehensive Medical, Dental, and Vision Coverage.Access to a 401(k) Retirement Savings Plan.Paid Time Off.Paid Holidays.Additional benefits, including Pet Care Coverage, Employee Assistance Program (EAP), and discounted services.