Certified Medical Coding Specialist

Overview

The Certified Medical Coding Specialist reviews denied medical claims, corrects coding and billing errors, and prepares claims for timely resubmission. This temporary, part-time position (20 hours per week for approximately four months) supports revenue cycle operations. The role offers a hybrid work schedule with flexible hours and potential to transition to a fully remote arrangement based on performance.

• Review payer denials and determine the reason for denial.
• Research medical records, coding, payer policies, and billing guidelines.
• Correct CPT, HCPCS, ICD-10-CM, modifiers, and other claim elements as appropriate.
• Prepare corrected claims and supporting documentation for resubmission.
• Work with billing staff to resolve complex claim issues.
• Identify denial trends and communicate recurring issues to leadership.
• Maintain productivity and quality standards while meeting filing deadlines.
• Document all actions taken in the practice management system.
• Perform other revenue cycle duties as assigned.

• Education
  • Current CPC, CCS, or equivalent coding certification required.
• Experience
  • Minimum of 2 years of professional medical coding experience; denial management experience preferred.
  • Strong knowledge of ICD-10-CM, CPT, HCPCS Level II, and payer billing requirements.
  • Experience with electronic health records and practice management systems; eClinical
    
    Works experience preferred.
  • Excellent analytical, organizational, and problem-solving skills.
  • Ability to work independently with minimal supervision.
  • Strong written and verbal communication skills.
  • Proficiency in Microsoft Office, particularly Excel.

• Part-time: 20 hours per week.
• Duration:
  Approximately 4 months.
• Hybrid work environment with flexible scheduling.
• Potential for fully remote work over time based on performance and business needs.

• Regular use of a computer and keyboard.
• Ability to remain seated for extended periods with occasional standing and walking.