The Certified Coding Specialist analyzes clinical and demographic information from the Health Information record to assign appropriate ICD-10 codes following established guidelines. This role ensures that all coding practices comply with CMS, state, and other regulatory agency requirements.

Outpatient Coder specializing in claim edits and denials for healthcare data

The Coding Specialist II will review outpatient hospital medical records to assign accurate ICD-10-CM, CPT, and HCPCS codes, ensuring compliance with official coding guidelines and ethical standards. This role involves validating documentation, issuing provider queries when necessary, abstracting required data for reporting, and participating in coding quality reviews.

This role provides support for medical coding activities, including ensuring that ICD-10 and CPT codes are reported accurately to maintain compliance, and minimize risk and denials. Contributes to overarching strategy to provide quality and cost-effective member care. Performs on...