Job Description

Job Summary:
We are seeking a detail-oriented and experienced Revenue Cycle Coding Specialist to join our team. This role is responsible for accurate charge entry, medical coding, and ensuring compliance with coding regulations to optimize reimbursement and minimize claim denials.

Key Responsibilities:

• Assign accurate ICD-10, CPT, and HCPCS codes to medical services and procedures.
• Enter charges and ensure proper documentation for billing purposes.
• Review clinical documentation to verify coding accuracy and completeness.
• Ensure compliance with federal, state, and payer-specific coding guidelines.
• Work collaboratively with providers and billing teams to resolve coding discrepancies.
• Submit claims accurately and timely to insurance providers.
• Monitor and address coding-related claim denials or rejections.
• Assist with audits and quality improvement initiatives related to coding.

Qualifications:

• High school diploma or equivalent required; associate’s or bachelor’s degree in healthcare administration, finance, or related field preferred.
• Minimum of 2 years of experience in medical coding and charge entry.
• Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or equivalent certification preferred.
• Strong knowledge of ICD-10, CPT, and HCPCS coding guidelines.
• Proficiency in electronic health records (EHR) and billing software.
• Excellent attention to detail and problem-solving skills.
• Strong communication and collaboration skills.
• Ability to work independently and manage multiple tasks efficiently.

Preferred Qualifications:

• Experience with Medicare and Medicaid billing.
• Familiarity with managed care and commercial insurance plans.

Work Environment:
This position may be based in an office, healthcare facility, or remote setting, depending on organizational needs. Standard work hours apply, with occasional overtime as necessary to meet deadlines.

 

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