Position Summary

The Certified Coding Specialist is responsible for reviewing medical charts and claims, resolving documentation and coding questions and issues and reporting results; gathering and analyzing information skillfully; and developing solutions.

Duties and Responsibilities

• Responds to requests for service and assistance and meets commitments in a timely manner.

• Responds to coding and documentation questions and assists the CBO in evaluating claim denial issues and to dispute or accurately rebill/reprocess claims where errors are identified

• Examines documents for missing information; corrects information as needed

• Assigns CPT, HCPCS, and ICD-10-CM codes

• Performs other duties as assigned.

• Acts with honesty and integrity in all business transactions, including, but not limited to, employment applications/resumes, patient records, time records, and financial transactions.

Experience, Skills and Education

• Education:

  • High School Diploma required; Associates Degree or Bachelors Degree preferred

• Experience and Requirements:

  • Documentation and coding experience of at least 2 years in a healthcare setting

  • Credentials in one or more of the following, required: Advanced Coding Specialist (ACS), Certified Coding Specialist - Physician (CCS-P), or Certified Professional Coder (CPC)

  • Experience with ICD-10-CM, CPT and HCPCS.

• Additional Knowledge, Skills and Abilities:

  • Ability to relay information in a positive format

  • Ability to work efficiently in a team or solo environment

  • Ability to work efficiently in a fast paced environment

  • Proficient with practice management software and overall knowledge of MS Office