Coding Specialist - TMG Billing

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The Coding Specialist is responsible for accurately assigning ICD-10-CM, CPT, and HCPCS codes for professional services across a multi-specialty medical group. This position ensures compliant, complete, and timely coding of all encounters to support proper claim submission, revenue integrity, and clinical documentation accuracy. The specialist will collaborate closely with providers, billing, and revenue cycle teams to resolve coding-related denials and identify process improvement opportunities.

• Assign appropriate ICD-10-CM, CPT, and HCPCS codes in accordance with official coding guidelines, payer policies, and organizational standards.
• Review provider documentation for accuracy and completeness, querying providers when clarification is needed to ensure correct code assignment and compliance with regulatory standards.
• Monitor and analyze claim rejections, denials, and trends to identify root causes and recommend corrective actions.
• Provide feedback and education to providers and staff regarding documentation improvement and coding updates.
• Participate in internal audits and quality assurance reviews to maintain a high level of coding accuracy.
• Collaborate with billing and A/R teams to resolve coding-related issues impacting reimbursement.
• Initiate follow-up communication with clients, payers, and internal departments to ensure timely resolution of coding and billing discrepancies.

• High School Diploma or equivalent required.
• Completion of an accredited medical coding or health information management program preferred.

• Minimum of one (1) year of professional coding experience in a multi-specialty or physician practice setting required.
• Experience with EPIC EHR.

• Required:
  
  Certified Professional Coder (CPC, CIC, COC, CCS, or CCS-P) or equivalent certification.
• Specialty certification (e.g., AAPC specialty credentials) preferred.

• Thorough knowledge of ICD-10-CM, CPT, and HCPCS coding systems and official guidelines.
• Familiarity with insurance payer rules, billing processes, and denial management.
• Strong analytical and problem‑solving skills with the ability to interpret data and form actionable recommendations.
• Proficient in Microsoft Office applications (Word, Excel, Outlook).
• Excellent attention to detail, organizational, and time‑management skills.
• Effective communication and interpersonal abilities; capable of working independently and collaboratively within a team environment.
• Professional demeanor and commitment to maintaining confidentiality and compliance with HIPAA regulations.

Entry level

Full-time

Health Care Provider

Hospitals and Health Care