Role - Certified Coding Specialist

Education & Certification (The below certifications support different type of coding needs, ie; inpatient coder required to have the CIC or the CCS, while an outpatient or professional coder would be expected to have a Certified Professional Coder (CPC) and/or a Certified Outpatient Coder (COC) designation.

Required: Certified Professional Coder (CPC) and/or Certified Outpatient Coder (COC)credentialed from the American Academy of Professional Coders (AAPC) obtained before hire or job transfer. All specialties accepted.
OR:
Required: Certified Coding Specialist (CCS) and/or Certified Inpatient Coder (CIC) credentialed from the American Health Information Management Association (AHIMA) obtained before hire or job transfer.
OR:
Certified Billing and Coding Certification from the National Health Career Association with a commitment to obtain one of the above within 6 months of job offer

Requirements:

* Experience in E&M Specialty Coding- Outpatient, Inpatient, observation, Critical care facilities using ICD, Modifiers, CPT, HCPCS codes, applicable to role.

* 0-5+ years of experience in E&M inpatient and/or outpatient medical record review, coding and reimbursement, preferred 3 years experience.

* Must have strong knowledge of ICD-10 CM/PCS and CPT coding and prospective payment systems and proficiency with Microsoft Windows operating systems and Office applications, such as Word, Excel, PowerPoint

* Able to work well with minimal supervision.

* Able to communicate clearly both written and verbally.

* Able to generate reports for management review that present results in a clear manner.

* Able to meet deadlines and respond well to frequent changes n priorities.

* Adept in handling changes in coding / billing regulation and requirements. .

* Able to maintain positive and productive relationships with internal and external teams and customers.

* Able to work independently and be a self-starter.

Roles & Responsibilities (Firstsource may assign a Certified Coding Specialist to one or more of the following roles based on their experience and client needs.)

Coding Denials: Claim is reviewed AFTER a denial has been received.

* Review payer denials to identify coding-related issues (ICD-10-CM/PCS, CPT, HCPCS, modifiers, DRG/APC assignments)

* Perform root cause analysis on denials related to medical necessity, bundling, edits, and documentation

* Correct coding errors and rebill claims or recommend corrections to client in accordance with payer policies and regulatory guidelines

* Collaborate with client teams (CDI (Clinical Documentation Improvement), providers, billing, and revenue integrity to resolve documentation and coding issues.

* Submit appeals with appropriate clinical justification and coding support.

* Track, trend, and report denial patterns and recommend process improvements.

* Ensure compliance with official coding guidelines, NCCI edits, LCD/NCDs, and payer-specific rules.

* Maintain productivity and quality standards for denial resolution.

* Participate in audits, education, and feedback initiatives.

* Support training for coders and clinical staff on denial prevention strategies.

* Use Encoder, billing, and EMR systems to research and resolve accounts.

* Maintain accurate documentation of actions taken on each denial.

Coding: Claim is reviewed / coded prior to submission to payer.

* Review inpatient, outpatient, ED, and/or professional fee medical records to assign accurate ICD-10-CM/PCS, CPT, and HCPCS codes.

* Apply official coding guidelines, payer rules, NCCI edits, and facility policies.

* Ensure codes reflect complete, clear, and compliant documentation.

* Abstract data elements required for billing, quality, and reporting.

* Query providers when documentation is unclear, incomplete, or conflicting.

* Meet established productivity and quality standards.

* Participate in internal and external audits and implement feedback.

* Maintain compliance with HIPAA and all regulatory requirements.

* Stay current with coding updates, payer changes, and regulatory guidance.

* Collaborate with CDI, billing, and revenue integrity teams.

* Support education and process improvement initiatives.

* Use encoder, EMR, and billing systems efficiently and accurately.

* Maintain detailed and timely account documentation.

All Coding Roles

* In conjunction with the Coding , Denial and RCM Leadership, contribute to the development of educational and training opportunities for staff.

* Creates update tracker and responsible for updating the team on trends and changes.

* Provides feedback & coaching on common error scenarios

Prepare reports for leadership review and identifies trends.

Benefits including but not limited to: Medical, Vision, Dental, 401K, Paid Time Off.

We are an Equal Opportunity Employer. All qualified applicants are considered for employment without regard to race, color, age, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other characteristic protected by federal, state or local law.

Not Accepting Referrals

","

Role - Certified Coding Specialist

Education & Certification (The below certificati...","Full Time",[99],["B","3235030056"],"3 days ago","/jobs/3235030056-certified-coding-specialist",{"_64":65,"_66":86,"_68":87,"_69":88,"_89":90},["D",1777284000000],"Carle Inclusion Connection Group","Overview
The HIM Certified Coder is responsible for accurate and timely coding of hospital inpatient, hospital outpatient and/or professional fee encounters using appropriate ICD10/ICDPCS, CPT, or HCPCs codes and appropriate coding software such as computer assisted coding and encoders as a means to ensure compliant billing of Carle claims. The HIM Certified Coder is responsible for understanding and applying all regulatory coding guidelines, such as National and Local Coverage Determinations and application of CPT modifiers. The HIM Certified Coder is also responsible for understanding and applying coding knowledge to resolve billing edits related to coding. The HIM coder uses Carle electronic medical record systems to review clinical encounters.

Qualifications

Certified Professional Coder (CPC) – American Academy of Professional Coders (AAPC)

Certified Outpatient Coder (COC) – American Academy of Professional Coders (AAPC)

Certified Inpatient Coder (CIC) – American Academy of Professional Coders (AAPC)

Certified Coding Specialist – Physician-Based (CCS-P) – American Health Information Management Association (AHIMA)

Certified Coding Specialist (CCS) – American Health Information Management Association (AHIMA)

Registered Health Information Technician (RHIT) – American Health Information Management Association (AHIMA)

Registered Health Information Administrator (RHIA) – American Health Information Management Association (AHIMA)

Responsibilities

Accurately code all records according to the appropriate coding classification (ICD-10 and/or CPT and/or HCPCS and modifiers) system. The assignment of codes will accurately reflect the diagnoses and procedures pertinent to the patient.

Provide interdepartmental coding assistance, as needed, to determine accurate coding assignment.

Develop methodology to provide a coding process that is compliant with regulatory agencies, including utilization of reference materials such as CMS publications, Coding Clinic, CPT Assistant, etc.

Facilitate optimization of revenue while maintaining compliance standards for the organization through varied venues and tasks such as auditing/monitoring, training, facilitation of charges through the claim scrubber system, assistance with patient or payer related charge/account inquiries, and research on coding/billing topics as requested by internal and external sources.

Serve as an expert resource regarding CPT, HCPCS, ICD-10-CM, all other necessary coding systems, and regulatory guidelines for all internal and external parties.

Serve as liaison for coding and billing staff to ensure accurate charge capture.

Report any documentation and coding improvement needs based upon review findings.

Maintain coding certification, knowledge and skills to successfully perform job duties.

Perform provider and peer coding audits as requested.

Assist with monitoring of internal controls for coding and billing.

Facilitate external audit activities and reporting to the appropriate administrative personnel.

Carle Health is an Equal Opportunity Employer and does not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class. Carle Health participates in E-Verify and may provide the Social Security Administration and, if necessary, the Department of Homeland Security with information from each new employee's Form I-9 to confirm work authorization. For more information: human.resources@carle.com.

Compensation and Benefits
The compensation range for this position is $23.58 per hour - $39.38 per hour. This represents a good faith minimum and maximum range for the role at the time of posting by Carle Health. The actual compensation offered to a candidate will be dependent on a variety of factors including, but not limited to, the candidate’s experience, qualifications, location, training, licenses, shifts worked and compensation model.

Carle Health offers a comprehensive benefits package for team members and providers. To learn more visit careers.carlehealth.org/benefits.

#J-18808-Ljbffr
","Overview
The HIM Certified Coder is responsible for accurate and timely coding of hospital inpatient, hospital outpatient and/or professional f...","HIM Cert Coder IP - CFH",[113],["B","3523286892"],"Work at Carle Inclusion Connection Group","/jobs/3523286892-him-cert-coder-ip-cfh","Champaign, IL, United States","/jobs?keyword=Carle+Inclusion+Connection+Group","/jobs?location=Champaign%2C+IL%2C+United+States","/jobs?keyword=HIM+Cert+Coder+IP+-+CFH",{"_64":65,"_66":114,"_68":115,"_69":116,"_89":117},"Champaign","Champaign, IL, United States, 61825","IL","61825",["D",1777248000000],"UF Health","

A healthcare organization is seeking a Physician Billing Coder for a remote position. This role involves reviewing clinical documentation, ensuring compliance, and accurately coding procedures for reimbursement. Candidates should have at least 3 years of physician coding experience and be certified as a Professional Coder (CPC). The position offers full-time hours from Monday to Friday with the possibility of remote work from authorized states.
#J-18808-Ljbffr

","

A healthcare organization is seeking a Physician Billing Coder for a remote position. This role involves reviewing clinical documentation, ensur...","Remote Physician Billing Coder (CPC) - Cardiology Revenue",[131],["B","3522300222"],"Work at UF Health","/jobs/3522300222-remote-physician-billing-coder-cpc-cardiology-revenue","Jacksonville, FL, United States","/jobs?keyword=UF+Health","/jobs?location=Jacksonville%2C+FL%2C+United+States","/jobs?keyword=Remote+Physician+Billing+Coder+%28CPC%29+-+Cardiology+Revenue",{"_64":65,"_66":132,"_68":133,"_69":134,"_89":135},"Jacksonville","Jacksonville, FL, United States, 32290","FL","32290",8752,"name","Newsday Media Group","agency","logo","https://production-rails-default.s3.us-east-2.amazonaws.com/public/legacy-logos/351727.GIF","slug","newsday-media-group","

Newsday Media Group is a locally owned, independent media company grounded in journalistic excellence, integrity, and commitment to the communities it serves. With 19 Pulitzer Prizes and dozens of Emmy Awards, it's one of the most decorated news organizations in the country.

The company is in the middle of a significant transformation, expanding from its newspaper roots into a multimedia operation spanning digital, video, podcasts, live events, and data-driven civic engagement. NMG properties include the flagship Newsday and Newsday.com, NewsdayTV, the Newsday Live events series, and nextLI, a civic research and community forum platform funded by The Rauch Foundation.

A new 130,000-square-foot headquarters in Melville features a broadcast-quality TV studio and multimedia production space. Newsday Live produces a growing calendar of food and wine tastings, author talks, sports Q&As, concerts, and community events. Feed Me, the company's food and dining vertical, includes a web series, quarterly print magazine, and restaurant coverage. Brand 360, the in-house content studio, partners with advertisers across healthcare, education, energy, tourism, and retail.

Newsday's investigative unit has driven real-world change, from prompting schools to replace unsafe football helmets to contributing reporting that led to federal corruption convictions. Community programs include the Newsday Marching Band Festival, CheerFest, Scholar-Artist honors, and partnerships with local nonprofits focused on hunger, housing, youth education, and child welfare.

For people who care about local journalism, multimedia storytelling, and community impact, Newsday is doing the work at scale.

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Sign up for free email alerts and get the latest jobs in social media, graphic design, writing, and marketing delivered to your inbox.","Create Job Alerts | Media, Marketing & Creative Job Alerts",[380,381],{"_36":378,"_339":379,"_31":39},"unlimitedJobsEmail","clients@mediabistro.com","enterpriseCta",{"_374":375,"_376":377},{"_370":371,"_372":371,"_373":371},"mediaBoardSection",{"_36":360,"_339":361,"_31":362,"_363":364,"_358":365},"rolesSection",{"_36":355,"_339":356,"_31":357,"_358":359},"testimonialsSection",{"_36":352,"_339":353,"_31":354},"testimonials",[340,341,342],"employersSection",{"_36":338,"_339":227},"employerLogos",[301,302,303,304,305,306,307,308,309,310,311,312],{"_137":336,"_314":337},{"_137":334,"_314":335},{"_137":332,"_314":333},{"_137":330,"_314":331},{"_137":328,"_314":329},{"_137":326,"_314":327},{"_137":324,"_314":325},{"_137":322,"_314":323},{"_137":320,"_314":321},{"_137":318,"_314":319},{"_137":316,"_314":317},{"_137":313,"_314":315},"Leaf Group","image","https://production-rails-default.s3.us-east-2.amazonaws.com/public/post-jobs-logos/leaf-group-400x200.png","Cox Enterprises","https://production-rails-default.s3.us-east-2.amazonaws.com/public/post-jobs-logos/cox-enterprises-400x200.png","Hearst Television","https://production-rails-default.s3.us-east-2.amazonaws.com/public/post-jobs-logos/hearst-television-400x200.png","Future","https://production-rails-default.s3.us-east-2.amazonaws.com/public/post-jobs-logos/future-400x200.png","Fox Corporation","https://production-rails-default.s3.us-east-2.amazonaws.com/public/post-jobs-logos/fox-corporation-400x200.png","Penguin Random House","https://production-rails-default.s3.us-east-2.amazonaws.com/public/post-jobs-logos/penguin-random-house-400x200.png","Springer Nature","https://production-rails-default.s3.us-east-2.amazonaws.com/public/post-jobs-logos/springer-nature-400x200.png","Penske Media Corporation","https://production-rails-default.s3.us-east-2.amazonaws.com/public/post-jobs-logos/penske-media-corporation-400x200.png","Dotdash","https://production-rails-default.s3.us-east-2.amazonaws.com/public/post-jobs-logos/dotdash-400x200.png","Meredith","https://production-rails-default.s3.us-east-2.amazonaws.com/public/post-jobs-logos/meredith-400x200.png","Bloomberg","https://production-rails-default.s3.us-east-2.amazonaws.com/public/post-jobs-logos/bloomberg-400x200.png","NBCUniversal","https://production-rails-default.s3.us-east-2.amazonaws.com/public/post-jobs-logos/nbc-universal-400x200.png","Media and Creative Employers on","subtitle",{"_343":349,"_345":350,"_140":351},{"_343":336,"_345":348,"_140":337},{"_343":344,"_345":346,"_140":347},"company","The Taunton Press","quote","What we like best about Mediabistro is the quality of targeted talent they deliver through their job board portal. 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