Certified Medical Coding Specialist – Professional Based

This is a fully remote position, open to applicants in New Hampshire.

📋 Description

• Review and evaluate professional medical records, encompassing office visits, hospital-based professional services, and outpatient encounters.

• Accurately assign ICD-10-CM, CPT, and HCPCS codes.

• Implement suitable CPT modifiers, units, place of service indicators, and billing rules specific to payers.

• Abstract and input coded data into Epic and other professional billing and coding systems.

• Ensure adherence to official coding guidelines, regulatory standards, payer policies, and organizational protocols.

• Maintain a minimum coding accuracy rate of 95% while achieving established productivity benchmarks.

• Review, investigate, and resolve claim edits and coding-related discrepancies.

• Validate provider documentation and inquire with providers for clarification or additional information as necessary.

• Act as a subject matter expert in professional coding, including E/M services, procedure coding, and modifier application.

• Collaborate with providers, clinical staff, educators, and revenue cycle teams to address coding and documentation challenges.

• Monitor and report on coding and documentation trends that affect professional billing and compliance.

• Stay updated on coding revisions, regulatory changes, and professional billing requirements.

• Engage in audits, education, training, and continuous improvement efforts.

• Perform additional responsibilities as assigned.

⛳️ Requirements

• High School diploma or equivalent is mandatory.

• An Associate degree in Health Information Management or a related field is preferred.

• Certification as a Coding Specialist (CCS), Certified Professional Coder (CPC), or Certified Coding Specialist – Physician-Based (CCS-P) is required at the time of hire.

• A minimum of two (2) years of professional coding experience in a multispecialty physician environment.

• Familiarity with ICD-10-CM, CPT, and HCPCS coding systems.

• Understanding of professional coding guidelines and compliant coding practices.

• Knowledge of medical terminology, anatomy, physiology, and regulatory compliance (CMS, HIPAA).

• Proficiency in Epic and coding/encoder software is preferred.

• Strong analytical, problem-solving, written, and verbal communication abilities.

🏝️ Benefits

• Health, dental, prescription, and vision coverage for both full-time and part-time employees.

• Medical, dental, and vision insurance.

• Life insurance coverage.

• Short- and long-term disability benefits.

• Flexible Spending Accounts (FSA).

• Competitive salary.

• Tuition reimbursement programs.

• Nursing Student Loan Paydown Program.

• 403(b) Retirement Savings Plan.

• Education and paid training courses for ongoing career development.