Position Summary:

The Certified Coding Specialist is responsible for accurately assigning diagnostic and procedural codes (CPT, ICD-10-CM, HCPCS) for hospital-based and outpatient clinic services to ensure proper billing, data collection and regulatory compliance. This position supports revenue integrity, claims processing, and adherence to compliance with official coding guidelines and hospital policies.

Key Responsibilities:

  • Review medical records and documentation and abstract relevant data to assign accurate CPT, HCPCS level II (and as needed ICD-10-CM) codes.
  • Apply National Correct Coding Initiative (NCCI) edits and modifiers to ensure clean claims.
  • Ensure coding practices comply with federal regulations, including HIPAA and CMS guidelines.
  • Query Providers for clarification when documentation is incomplete or unclear.
  • Work collaboratively with billing, revenue cycle, and compliance teams to resolve coding related issues or denials.
  • Maintain productivity and accuracy standards set by the department.
  • Maintain current knowledge of coding guidelines, payer policies, and updates to code sets.
  • Assist with data entry, reports, coding projects, and backup for HIM Team as assigned.
  • Use various hospital information systems (EHR, encoder, abstracting systems) proficiently.

Qualifications:

  • High School Diploma or equivalent.
  • Active coding certification required (CCS, CCS-P, CPC, COC, RHIT or equivalent), or obtained within 6 months of hire.
  • Strong knowledge of anatomy, physiology, medical terminology, and pharmacology.
  • Familiarity with coding hospital outpatient and professional fee coding.
  • Proficient with EHR’s, encoders software, and Microsoft Office applications.
  • Ability to work independently and manage time effectively. Excellent written and verbal communication skills. Strong attention to detail and analytical skills.

Preferred Skills and Experience:

  • Associate or bachelor’s degree in health information management or related field.
  • 2+ years of experience coding both facility and professional coding in a hospital or clinic environment.
  • Previous work in multispecialty clinics, surgical centers, or emergency departments and coding complex cases is a plus.
  • Experience with Cerner or similar EHR systems.
  • Familiarity with Medicare guidelines, NCCI edits, and Local/National Coverage Determinations (LCD/NCD).

To apply click here.