Certified Coding Specialist

Location: Colbert, GA (on-site; remote options may be available)

Employment Type: Full-Time

Reports To: Revenue Cycle Manager

About the role

MedLink Georgia is seeking a detail-oriented and experienced Certified Coding Specialist (CCS) to join our Revenue Cycle team. The ideal candidate will have a thorough understanding of ICD-10-CM, CPT, and HCPCS coding systems, and will be responsible for ensuring accurate coding of diagnoses and procedures to support optimal reimbursement and compliance with federal regulations.

Responsibilities

• Review electronic medical records initiated by healthcare providers.
• Review and verify component parts of medical records to ensure completeness and accuracy of diagnosis and service provided.
• Perform prospective and retrospective chart reviews to confirm accuracy of codes assigned as supported by documentation, including ICD-10, CPT, HCPCS (all levels), and any other required coding classification systems.
• Analyze medical record documentation for consistency and completeness for coding purposes using established criteria and regulations.
• Examine all documents in the record for authorized signature and patient identification to ensure sufficient documentation supports the diagnosis and treatment administered, and results are adequately described.
• Assist with or complete Accounts Receivable follow-up on outstanding claims for assigned area of focus.
• Other duties as assigned.

Requirements

• Working knowledge of Medicare, Medicaid, and insurance billing procedures.
• Working knowledge of medical chart audits/review.
• Knowledge of State of Georgia collection laws.
• Proven organizational skills.
• Effective written and verbal communication skills.
• Effective analytical and computational skills.
• Extensive accounting software skills.
• Ability to work with minimal supervision.
• Ability to develop and maintain effective working relationships with co-workers, patients, peers, professional staff, and management.

Qualifications

• High school diploma or equivalent (GED certificate).
• AHIMA Certified Coding Specialist - Physician (CCS-P) or AAPC Certified Professional Coder (CPC) is required.
• 12 months of coding/chart review or related experience.
• Experience in E&M and in-office procedure coding, along with assigning ICD-10 codes, is strongly preferred.

Benefits

• Competitive salary.
• Health, dental, and vision insurance.
• Paid time off and holidays.
• 401(k) with employer match.