Coding Specialist

This is a fully remote position, open to applicants in Kansas, +3 more states.

📋 Description

• Execute complex professional coding independently across various specialties and environments, including office/clinic, hospital outpatient, ED/urgent care, ASC, SNF/nursing home, and telehealth.

• Utilize advanced coding judgment, interpret payer policies, and adhere to documentation standards to ensure compliant reimbursement, maintain wRVU integrity, and support audit defensibility.

• Accurately code intricate professional encounters and procedures, ensuring proper sequencing, modifiers, E/M level selection, and alignment with documentation.

• Address coding-related edits and denials by identifying underlying causes, coordinating documentation clarification, and assisting with rebilling actions as necessary.

• Implement payer medical policies, NCCI concepts, global service considerations, and telehealth coding regulations for professional-fee claims.

• Offer real-time assistance to colleagues on standard coding scenarios and foster consistency through the sharing of best practices.

• Engage in internal quality review programs and execute educational initiatives or corrective measures based on findings.

• Assess documentation within the EHR across various settings utilizing Epic professional coding work queues and encoder tools.

• Pinpoint opportunities for documentation improvement and facilitate compliant query workflows.

• Carry out additional duties as assigned.

⛳️ Requirements

• Candidates must live and work full-time in Arkansas, Kansas, Missouri, Oklahoma, or Texas prior to the commencement of employment.

• Experience in professional fee coding across at least 2–3 supported clinical specialties is preferred.

• Strong preference for candidates with experience coding complex surgical and procedural services within an academic or multi-specialty healthcare environment.

• Advanced knowledge of ICD-10-CM, CPT®, HCPCS, and modifiers is essential.

• Proficient in E/M coding and payer policy interpretation.

• Skilled in using Epic professional coding work queues and encoder tools.

• Capable of efficiently reviewing documentation in the EHR across multiple settings.

• Strong analytical skills for preventing denial/edits.

• Ability to recognize documentation improvement opportunities and aid in compliant query workflows.

• Familiarity with risk adjustment concepts and HCC validation when applicable.

• A High School diploma or GED is required.

• A minimum of 3 years of physician/provider coding experience is necessary.

• CPC or CCS-P certification is required.

🏝️ Benefits

• Competitive wages along with a comprehensive total rewards package.

• Flexible shifts available after training completion.

• Option to work four 9-hour days and one 4-hour day.

• Paid time off (PTO).

• 401(k) plan.

• Medical insurance options.

• Dental insurance options.

• Comprehensive benefits package.