Dec 12, 2025
Job Description
- Knowledge of ICD-10-CM and CPT coding guidelines as well as state and federal Medicare reimbursement guidelines.
- Ability to research and analyze data, draw conclusions, and resolve issues; read, interpret, and apply policies, procedures, laws, and regulations.
- Ability to read and interpret medical procedures and terminology.
- Ability to develop training materials, make group presentations, and to train staff.
- Ability to exercise independent judgment.
- Excellent written and verbal communication skills to prepare reports and related documents and to maintain working relationships with physicians and other staff.
- Ability to maintain confidentiality.
- Proficiency in MS Office and patient management software
- Self-directed and positive attitude essential.
- Represents company in a manner that ensures a positive service image and tone for the organization. Reviews elective surgeries performed from the previous week across all hospital partners (SJ/C, WMH, MMC, etc.). Interprets medical information from hospital medical records (Meditech, EPIC, etc.) including diagnostic descriptions to accurately assign and sequence the correct ICD-10 and CPT codes.
- Enters all related codes into charge screens including assist codes, if applicable.
- Saves procedural records to the patients’ record within Allscripts for clinic reference.
- Serves as a resource to the billing team regarding any denied surgery claims.
- Evaluates denied claims at least once per quarter to identify documentation or coding issues.
- Provides technical guidance to physicians and other staff in identifying and resolving issues or errors such as incomplete or missing records and documentation, ambiguous or nonspecific documentation, and/or codes that do not conform to approved coding principles/guidelines.
- Reads bulletins, newsletters, and periodicals and attends workshops to stay abreast of issues, trends, and changes in laws and regulations governing medical record coding and documentation.
- Identifies training needs, prepares training materials, and conducts training for physicians and support staff to improve skills in the collection and coding of quality health data.
- Supports other coding team members as workload permits including when other team members are taking time off.
- Performs other work duties and assignments as assigned.
Required Experience Level
Intermediate Level
Minimum Education
No formal education required
Minimum Experience Required
2-4 years
Required Travel
No required travel
Applicant Location
US residents only