Coding Specialist II

Job Description

Join Tri Health as a Coding Specialist II! At Tri Health, our Medical Coding Specialists play a key role in supporting accurate, compliant, and high‑quality patient care. In this position, you’ll review provider documentation, assign correct ICD and CPT codes, research denials, and collaborate with clinical teams to ensure clarity and consistency in documentation and coding practices. We’re seeking candidates with a coding certification (CPC‑A, CPC, CCS‑P, or CCA), strong knowledge of ICD‑10‑CM/CPT guidelines, and a solid foundation in anatomy, physiology, and medical terminology.

At Tri Health, you’ll join a supportive, mission‑driven environment where your expertise is valued, and your work makes a meaningful impact.

• Works at Home

• Full-Time (80 hours biweekly)
• Day Shift
• No Weekend, Holiday or On Call Commitment

Tri Health offers a comprehensive benefits package - including medical, dental, vision, paid time off, retirement plans, and tuition reimbursement.

• Associate’s degree
• Equivalent experience accepted in lieu of degree
• CPC, CCS-P, CCM, RHIA, RHIT, CCA
• Extensive knowledge of ICD-10-CM and CPT coding Methodologies
• Abstract coding of inpatient and outpatient medical records
• Extensive knowledge of medical terminology and Anatomy
• 3-4 years’ experience in a related field

This position abstract codes provider documentation and assigns specific and appropriate ICD (International Classification of Diseases) and CPT (Current Procedural Terminology) codes based on clinical documentation and official guidelines/regulations provided by government and insurance carriers. Provides coding expertise to department management, coding staff, clinical staff, and billing staff. Meets or exceeds departmental standard related to quality and productivity

• Assists with coding/billing questions from both internal and external customers.
• Which will include follow-up on denials, research, and review of charts for potential coding issues.
• Follow up with provider on any documentation that is insufficient or unclear and elevate where necessary.
• Communicate with other clinical staff regarding documentation trends.
• Maintains a close working relationship with all departments and internal customers including leadership and consolidates efforts to ensure appropriate and standardized coding procedures are followed.
• Ensures understanding and compliance with coding protocols, rules and regulations from government agencies, insurance companies, and other resources.
• Maintains knowledge of current coding revisions and effectively communicates changes with provider.
• Maintains accurate and current CPT and ICD-10-CM resources within the billing and clinical systems.
• Validate and/or abstract codes specific to diagnoses and procedures, using ICD and CPT codes.
• Receive and review patient charts and documents to ensure codes are accurate and sequenced correctly and in accordance with government and insurance were applicable.
• Ensure that all codes are current, active, and billable according to CCI.
• Validate and/or abstract codes specific to diagnoses and procedures, using ICD and CPT codes.
• Receive and review patient charts and documents to ensure codes are accurate and sequenced correctly and in accordance with government and insurance were applicable.
• Ensure that all codes are current, active, and billable according to CCI.

• Current professional coding credential:
• AAPC (Certified Professional Coder [CPC]
• Certified Outpatient Coder [COC])
• PMI (Certified Medical Coder [CMC])
• AHIMA (Certified Coding Specialist-Physician [CCS-P]
• Certified Coding Specialist [CCS]
• Registered Health Information Administrator [RHIA]
• Registered Health Information Technician [RHIT])

• Climbing
  - Rarely
• Concentrating
  - Consistently
• Continuous Learning
  - Consistently
• Hearing:
  Conversation
  - Consistently
• Hearing:
  Other Sounds
  - Frequently
• Interpersonal Communication
  - Consistently
• Kneeling
  - Rarely
• Lifting