Coding Specialist (Multi-Specialty)
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AI Summary
The Coding Specialist ensures that professional charges are coded accurately from medical records and entered into the billing system. They review physician documentation and assign appropriate codes while ensuring compliance with guidelines and standards.
Please Note
JOB SUMMARY:
Under direct supervision, ensures professional charges are coded appropriately from the medical record and entered accurately into the billing system. Codes medical records for multi-specialty physician practices, with a strong focus on Orthopedic professional fee services, including hospital-based Evaluation & Management (E/M) services. Utilizes ICD-10-CM and CPT coding conventions to assign accurate diagnosis and procedure codes in accordance with established guidelines, payer rules, and compliance standards.
JOB FUNCTIONS:
- Shift Schedule: Remote 5x8, M–F (morning start options available)
- Assignment Type: Temp (Maternity Leave Coverage ONLY)
- Equipment Provided: No – candidate must provide their own equipment
- Interviews: Virtual
JOB SUMMARY:
Under direct supervision, ensures professional charges are coded appropriately from the medical record and entered accurately into the billing system. Codes medical records for multi-specialty physician practices, with a strong focus on Orthopedic professional fee services, including hospital-based Evaluation & Management (E/M) services. Utilizes ICD-10-CM and CPT coding conventions to assign accurate diagnosis and procedure codes in accordance with established guidelines, payer rules, and compliance standards.
JOB FUNCTIONS:
- The following statements describe the general nature and level of work performed and are not intended to be exhaustive:
- Reviews and analyzes physician documentation, operative reports, and hospital encounter records to accurately assign CPT and ICD-10-CM codes for professional services
- Codes Orthopedic provider services, including office visits, hospital E/Ms, and surgical procedures, ensuring compliance with payer and regulatory guidelines
- Supports multi-specialty professional fee coding, with flexibility to assist across service lines as needed
- Acts as a liaison between coding, billing, and clinical teams to resolve coding questions and documentation issues in a timely manner
- Ensures quality, accuracy, and timeliness of coded data to support reimbursement, reporting, and compliance requirements
- Reviews coding edits, denials, and discrepancies and makes corrections as appropriate
- Meets established productivity, accuracy, and turnaround time standards
- Maintains confidentiality and complies with HIPAA and organizational policies
- Participates in departmental meetings, training sessions, and ongoing education as required
Requirements
JOB REQUIREMENTS:- CPC or CCS-P certification required
- 2+ years of Professional Fee (ProFee) coding experience required
- Orthopedic ProFee coding experience required, including office and hospital E/M services, and surgical and procedural coding
- Multi-specialty coding experience required
- Primary Care ProFee coding experience required
- Hospital-based professional services coding experience preferred
- Outpatient professional fee revenue cycle management experience preferred
- Strong proficiency in abstracting ICD-10-CM and CPT codes from provider documentation
- Ability to meet productivity and quality standards in a production coding environment
- Candidates must have their own equipment
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