Medical Coding Specialist

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

📋 Description

• Evaluates, analyzes, and interprets provider documentation related to procedure and diagnosis code selection.

• Conducts audits of provider coding and documentation to recommend enhancements and improvements.

• Maintains strong working relationships with assigned providers and medical office, frequently consulting with the provider when coding discrepancies arise.

• Investigates any coding inquiries from the provider or medical staff, presenting findings to them.

• Reviews hospital, clinical, and surgical documentation along with the assigned diagnosis and procedure codes, releasing charges within the Epic system.

• Identifies inconsistencies between the provider's code selection and the medical record documentation; makes necessary corrections and educates the provider on findings.

• Exhibits extensive knowledge of official coding guidelines established by the American Medical Association (AMA), the Center for Medicare & Medicaid Services (CMS), and contracted payers.

• Collaborates with billing partners to develop efficient coding processes and investigate denials.

• Addresses customer concerns through coding reviews requested by other departments.

• Facilitates provider coding orientation and education sessions, documenting all information shared.

• Maintains comprehensive knowledge of Epic ambulatory and hospital modules.

• Works collaboratively as a team to achieve productivity objectives.

⛳️ Requirements

• High School diploma or equivalent.

• Two years of experience in coding professional services across multiple specialties.

• Certified Professional Coder (CPC) or another equivalent coding certification is mandatory.

• Strong problem-solving skills.

• Excellent written, oral, interpersonal, and communication skills.

• Strong analytical skills.

🏝️ Benefits

• Medical.

• Dental.

• Vision.

• Life & Disability Insurance.

• FSA/HSA Options.

• Generous, accruing paid time off.

• Paid Parental and caregiver leave.

• Career advancement and educational opportunities.

• Tuition and certification reimbursement.

• Certification Reimbursement.

• Well-being Programs.

• Employee Discounts.

• On-Demand Pay.

• Financial Education.

• Annual recognition/awards events.

• Partner appreciation days.

• Family entertainment/attractions discount.

• Community service/improvement opportunities.