Senior Coding Specialist

4 semanas atrás

Rio de Janeiro, Rio de Janeiro, Brasil Inside Higher Ed Tempo inteiro
Overview

Join to apply for the Senior Coding Specialist role at Inside Higher Ed .

Responsibilities
  • Assign accurate and complete diagnosis and procedure codes for encounters across multiple specialties including, but not limited to, pediatrics, OBGYN, orthopedics, dermatology, internal medicine, psychiatry, and surgical services
  • Review clinical documentation for completeness and clarity, query providers when appropriate
  • Ensure compliance with coding and billing regulations including CMS, CPT/ICD coding guidelines, and payer-specific rules
  • Participate in internal audits and implement coding corrections or education as needed
  • Monitor coding denials, identify root causes, and recommend corrective actions
  • Serve as a coding resource and provide guidance or training to peers and revenue cycle team members
  • Collaborate with clinical departments to clarify documentation and improve coding accuracy
  • Maintain productivity and accuracy standards as defined by department goals
  • Assist in the development and revision of internal coding policies, workflows, and education materials
  • Strong analytical and problem-solving skills
  • Detail-oriented with a high level of accuracy
  • Effective written and verbal communication
  • Ability to work independently and meet deadlines
  • Comfortable navigating multiple EMR and billing platforms
Qualifications
  • Required
  • High school diploma or GED
  • 5+ years of professional coding experience in a multispecialty ambulatory or physician practice setting
  • Active CPC, CCS-P, or equivalent certification from AAPC or AHIMA
  • Strong knowledge of CPT, ICD-10-CM, HCPCS, and modifier usage
  • Familiarity with EHR and PM systems, preferably Veradigm, Oracle Health EMR platforms
  • Working knowledge of payer-specific billing guidelines and coding edits (CCI, MUEs, etc.)
    • Preferred
    • Associate's degree in health information management, Health Sciences, or related field
    • Experience with audit response and clinical documentation improvement initiatives

Expected Pay Range: $53,000 to $57,000

Seniority level
  • Mid-Senior level
Employment type
  • Full-time
Job function
  • Health Care Provider
  • Industries
  • Online Audio and Video Media

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