Certified Medical Coding Specialist – Professional Based
Employment Information
Report this job
Job expired or something wrong with this job?
Job Description
Coding Specialist analyzing and assigning ICD-10-CM, CPT, and HCPCS codes for professional medical encounters at Southern New Hampshire Health. Ensuring compliance with coding guidelines to optimize reimbursement and minimize denials.
Responsibilities:
- Review and analyze professional medical records, including office visits, hospital-based professional services, and outpatient encounters
- Assign accurate ICD-10-CM, CPT, and HCPCS codes
- Apply appropriate CPT modifiers, units, place of service indicators, and payer-specific billing rules
- Abstract and enter coded data into Epic and other professional billing and coding systems
- Ensure compliance with official coding guidelines, regulatory requirements, payer policies, and organizational standards
- Maintain a minimum coding accuracy rate of 95% and meet established productivity benchmarks
- Review, investigate, and resolve claim edits and coding-related errors
- Validate provider documentation and query providers for clarification or additional detail when needed
- Serve as a subject matter expert for professional coding, including E/M services, procedure coding, and modifier usage
- Collaborate with providers, clinical staff, educators, and revenue cycle teams to resolve coding and documentation issues
- Monitor and communicate coding and documentation trends impacting professional billing and compliance
- Stay current on coding updates, regulatory changes, and professional billing requirements
- Participate in audits, education, training, and continuous improvement initiatives
- Perform other duties as assigned
Requirements:
- High School diploma or equivalent required
- Associate degree in Health Information Management or a closely related field preferred
- Certification (Required at Time of Hire) Certified Coding Specialist (CCS), or Certified Professional Coder (CPC), or Certified Coding Specialist – Physician-Based (CCS-P)
- Additional HIM certifications (RHIT, RHIA) preferred
- Minimum of two (2) years of professional coding experience in a multispecialty physician setting
- Experience with ICD-10-CM, CPT, and HCPCS coding systems
- Knowledge of professional coding guidelines and compliant coding practices
- Knowledge of medical terminology, anatomy, physiology, and regulatory compliance (CMS, HIPAA)
- Proficiency with Epic and coding/encoder software preferred
- Strong analytical, problem-solving, written, and verbal communication skills.
Benefits:
- Health, dental, prescription, and vision coverage for full-time & part-time employees
- Life insurance
- Short- and long-term disability
- Flexible Spending Accounts (FSA)
- Competitive pay
- Tuition Reimbursement
- Nursing Student Loan Paydown Program
- 403(b) Retirement Savings Plan
- Education & Paid training courses for continued career progression
- So much more!
Similar Jobs
Certified Medical Coding Specialist – Emergency Department
Coding Specialist for Emergency Department at Southern NH Health responsible for accurate coding of medical records. Collaborating with providers and clinical staff to optimize reimbursement and compliance.
Certified Coder I
Certified Medical Coder I responsible for maintaining regulatory compliance and coding accuracy in healthcare. Reviews case documentation and diagnoses codes while ensuring adherence to regulatory requirements.
Professional Medical Coder II
Professional Medical Coder II at Lexington Health assigning ICD and CPT codes for reimbursement and documentation accuracy. Working collaboratively with healthcare professionals and meeting coding standards.
Healthcare Billing Specialist – Home Health
Detail-oriented Healthcare Billing Specialist managing full-cycle medical billing for U.S. healthcare clients, ensuring accurate processing and compliance using ALORA software.
Coding Specialist 2
Coding Specialist delivering day-to-day objectives in healthcare services at Guidehouse. Ensuring accurate coding and compliance in medical records management.
Surgical Coder
Surgical Coder managing patient health information coding for claims processing at Sarasota Memorial Healthcare System. Position requires CPT and ICD coding experience with trainings held on-site.
Coder, Provider Practice
Coder reviewing medical documentation and assigning appropriate ICD-10, HCPCS, CPT codes for Sanford Health. Collaborating with medical professionals to ensure compliance and improve documentation accuracy.
Medical Coder
Medical Coder at Integrated Management Strategies specializing in healthcare consulting. Working remotely to process medical coding and collaborate with team members to maintain standards.
Medical Coding Educator
Medical Coding Educator providing coding and billing education at City of Hope to improve healthcare practices and outcomes.
Lead Medical Billing Specialist
Lead Medical Billing Specialist overseeing revenue cycle billing for Rural Physicians Group. Responsible for training staff and ensuring accurate billing and claims processing.
Certified Coder – Neurology
Certified Coder reviewing medical documentation for proper billing codes and documentation requirements. Collaborating with physicians for code accuracy and compliance in billing.
DRG Coder IV
Coder IV reviewing medical records and assigning diagnoses and procedures for Denver Health. Collaborating with healthcare professionals to improve coding and documentation accuracy.
ProFee Coding Specialist II
ProFee Coding Specialist responsible for accurately coding moderately complex medical encounters and following established coding guidelines. Maintaining up-to-date skills and adhering to ethical coding standards.
Inpatient Coder – PRN
Inpatient Coder for Baptist Health ensuring quality inpatient coding. Fully remote position requiring residency in KY or IN, with coding guidelines expertise.
Senior Coder – Validation Specialist
Coding Validation Specialist assisting Coding Managers with coding education and quality assurance. Developing training materials and overseeing education plans for coding staff at Boston Medical Center.
Pediatric Medical Billing Specialist
Pediatric Medical Billing Specialist at Altus Pediatric Billing responsible for exceptional client service and managing claims. Work from home with flexible scheduling to meet client needs.
Medical Coding Specialist II – Multi-Specialty
Medical Coding Specialist determining appropriate coding using software and resources for healthcare; ensuring compliance with coding initiatives and guidelines.
Coding Specialist, EM
Coding Specialist responsible for evaluating medical coding practices and compliance within USACS. Collaborating with the Coding and Clinician Education teams to ensure accurate code assignment and documentation compliance.
Medical Coder – Professional, Part Time
Medical Coder-Professional reviewing and coding medical records at University of Mississippi Medical Center. Ensuring compliance with coding standards for healthcare services rendered.
Facility Coder III
Facility Coder III responsible for reviewing and assigning medical coding at Denver Health. Training Level I and II coders, ensuring accuracy and productivity standards.