Certified Medical Coding Specialist

## Description

**JOB SUMMARY**

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

**DUTIES AND RESPONSIBILITIES**

• 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.

## Qualifications
**QUALIFICATIONS**

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; eClinicalWorks 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.

**WORKING CONDITIONS**

• 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.

**PHYSICAL REQUIREMENTS**

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