Coding Specialist

This is a fully remote position, open to applicants in United States.

📋 Description

• Act as a subject matter expert in medical coding, providing guidance on revenue cycle management and coding best practices within a telehealth environment.

• Review and extract information from clinical documentation to assign the appropriate CPT, ICD-10, and HCPCS codes.

• Ensure the accuracy of coding to enhance reimbursement while adhering to federal regulations, payer policies, and internal guidelines.

• Conduct regular audits of coded data to maintain quality and identify areas for education or process enhancement.

• Stay updated on coding changes, payer guidelines, and regulatory standards, including CMS and HIPAA.

• Assist the RCM team with coding-related appeals or re-submissions.

• Uphold the confidentiality of patient, provider, and organizational information.

• Identify issues and trends, communicating findings to management.

• Maintain proficiency in billing systems, EMRs, internal platforms, and team communication tools.

• Carry out additional responsibilities as assigned.

⛳️ Requirements

• A CPC or CPC-A (AAPC) certification is required.

• A high school diploma or equivalent is mandatory.

• 2–3+ years of professional coding experience, ideally in Revenue Cycle Management.

• Experience with coding audits or quality assurance processes is essential.

• Experience across various specialties is preferred.

• Familiarity with Candid Health billing software is advantageous.

• Proficient in CPT, ICD-10, and HCPCS coding systems.

• Strong understanding of medical terminology, anatomy, and physiology.

• Intermediate knowledge of revenue cycle processes and best practices.

• Excellent organizational skills, time management, and attention to detail.

• Self-motivated with the ability to work independently, manage multiple tasks, and adapt priorities swiftly.

• Demonstrated sound judgment and dependable follow-through on deadlines.

• Exceptional written and verbal communication skills.

🏝️ Benefits

• Comprehensive health insurance coverage.

• 401(k) retirement plan with company match.

• Paid time off and holidays.

• Opportunities for professional development and continuing education.

• Flexible working arrangements and a supportive work environment.