CADUCEUSHEALTH®
Position: Coding Specialist coding Holds and Denials
Overview
We're seeking a seasoned Coding Specialist to conduct high-quality reviews and assign accurate codes to a wide range of patient records. Your work ensures that physician services are properly documented and billed in alignment with medical and legal standards.
What You’ll Do
Assign
ICD-10-CM
and
CPT codes
(with modifiers) for professional fee services. Review documentation to support accurate coding and billing. Validate medical necessity based on local and national guidelines. Resolve coding edits, denials, and assist with rebilling when needed. Stay current with coding regulations and compliance standards. Meet or exceed
productivity and quality benchmarks . Identify coding issues and contribute to ongoing improvements. Participate in departmental meetings and compliance training. Preferred Qualifications AAPC CPC certification
(Required) for the last 3 yrs. 5+ years
of experience in professional fee coding. In-depth knowledge of
CPT, ICD-10, anatomy/physiology , and Medicare rules. Excellent analytical, written, and verbal communication skills. Strong attention to detail and ability to work independently. High level of discretion with
HIPAA and PHI . Proficient in
Microsoft Office
(Word, Excel, Outlook, Teams).
Work Environment & Requirements 100% remote with standard business hours. Extended computer usage and sitting required. Ability to lift up to 30 pounds occasionally. Strong focus on compliance, privacy, and quality standards.
Work environment:
A standard business environment exists with moderate noise levels. Ability to lift and move approximately thirty (30) pounds non-routinely. Ability to sit for extended periods. Extended periods of computer usage Handling – seizing, holding, grasping, and fingering of objects, tools, and controls. Vision – close vision Hearing- the ability to receive detailed information through oral and telephonic communication.
ICD-10-CM
and
CPT codes
(with modifiers) for professional fee services. Review documentation to support accurate coding and billing. Validate medical necessity based on local and national guidelines. Resolve coding edits, denials, and assist with rebilling when needed. Stay current with coding regulations and compliance standards. Meet or exceed
productivity and quality benchmarks . Identify coding issues and contribute to ongoing improvements. Participate in departmental meetings and compliance training. Preferred Qualifications AAPC CPC certification
(Required) for the last 3 yrs. 5+ years
of experience in professional fee coding. In-depth knowledge of
CPT, ICD-10, anatomy/physiology , and Medicare rules. Excellent analytical, written, and verbal communication skills. Strong attention to detail and ability to work independently. High level of discretion with
HIPAA and PHI . Proficient in
Microsoft Office
(Word, Excel, Outlook, Teams).
Work Environment & Requirements 100% remote with standard business hours. Extended computer usage and sitting required. Ability to lift up to 30 pounds occasionally. Strong focus on compliance, privacy, and quality standards.
Work environment:
A standard business environment exists with moderate noise levels. Ability to lift and move approximately thirty (30) pounds non-routinely. Ability to sit for extended periods. Extended periods of computer usage Handling – seizing, holding, grasping, and fingering of objects, tools, and controls. Vision – close vision Hearing- the ability to receive detailed information through oral and telephonic communication.