Coding Specialist

Responsibilities

• Serve as the medical coding subject matter expert who can effectively work with other staff to impart best practices related to revenue cycle management/coding within a telehealth setting.
• Review and abstract clinical documentation to assign appropriate CPT, ICD-10, and HCPCS codes.
• Ensure coding accuracy to optimize reimbursement while maintaining compliance with federal regulations, payer policies, and internal protocols.
• Perform regular audits of coded data to ensure quality and identify opportunities for education or process improvement.
• Stay current with industry changes including coding updates, payer guidelines, and regulatory requirements (e.g., CMS, HIPAA).
• Support RCM team in coding-related appeals or re-submissions.
• Maintain strict confidentiality of all patient, provider, and organizational data.
• Identifies problem areas and trends encountered while working with any team or department and communicates findings to management.
• Remains proficient in the use of specific applications related to the coding team’s function, i.e. billing systems, EMRs, internal portals, team communication tools, etc.

Requirements

• 2–3+ years of professional coding experience, preferably in Revenue Cycle Management.
• Experience with coding audits or quality assurance processes.
• Experience across multiple specialties.
• Experience with Candid Health billing software a plus.
• Proficient in CPT, ICD-10, and HCPCS coding systems.
• Strong knowledge of medical terminology, anatomy, and physiology.
• Intermediate knowledge of revenue cycle processes and best practices.