CODING SPECIALIST

About the role

The Coding Specialist plays a critical role in delivering accurate and high-quality healthcare coding services to OCHIN member clinics and acute care hospital organizations. This position is responsible for identifying potential high-risk coding trends, applying best practices to optimize revenue, and enhancing coding accuracy to support a streamlined and efficient revenue cycle. The Coding Specialist proactively escalates complex or unique coding issues, collaborates with supervisors to resolve challenges, and applies newly acquired knowledge to future scenarios. Additionally, this role contributes to continuous improvement efforts by recommending process enhancements that increase operational efficiency and effectiveness.

Responsibilities

• Accurate and Compliant Coding: Deliver efficient and accurate coding services on behalf of member clients, ensuring full compliance with payer requirements, organizational policies, and all applicable coding guidelines.
• Clinical Data Abstraction: Extract and interpret relevant clinical data—including diagnoses and procedures—from patient medical records and electronic health systems to support accurate code assignment.
• Code Assignment and Validation: Review and analyze patient encounters to assign appropriate diagnosis and procedure codes, ensuring accuracy and completeness for all relevant clinical information.
• Reimbursement Optimization: Support member organizations in achieving appropriate reimbursement by reviewing and recommending accurate code assignments that are critical to third-party payer claims.
• Provider Communication and Documentation Follow-Up: Conduct research and obtain additional information from providers or clinical staff via Epic In-Basket messaging, as needed and in accordance with established agreements.

Requirements

• Certificate of completion from: AAPC (CPC Certificate), AHIMA (CCS Certificate) or ADCA (CDC certificate) is REQUIRED. (Certification must be in hand at the time of your application).
• Minimum of 6-months of experience of certified coding experience
• Experience with FQHCs highly desired. Candidates with FQHC experience will be given priority

Qualifications

Certified Coding Specialist (CPC), Certified Coding Associate (CCS), or Certified Coding Specialist - Clinical Data Analyst (CDC) certification is required.

Skills

Strong attention to detail, excellent communication skills, ability to work independently, proficiency in coding guidelines, and strong problem-solving abilities.

Benefits

Comprehensive benefits package including health insurance, retirement plans, paid time off, and more. Details available on the OCHIN website.

Pay

Base Pay Overview: OCHIN uses broadened pay ranges to support equitable and market-aligned compensation practices. The final offer will be based on a variety of factors, including relevant skills, certifications, education, experience, training, responsibilities, internal equity, and market data.

Schedule

OCHIN is a 100% remote organization with no physical corporate office location. Employees work remotely from home and may also support member organizations on-site for new software installations. Nationwide travel is determined based on OCHIN business needs. Please inquire during the interview process about travel requirements for this position.

Work From Home Requirements

Ability to work independently and efficiently from a home office environment, High Speed Internet Service, and a distraction-free workplace.

COVID-19 Vaccination Requirement

To keep our colleagues, members, and communities safe, OCHIN requires all employees—including remote employees, contractors, interns, and new hires—to be vaccinated with a COVID-19 vaccine, as supported by state and federal public health officials, as a condition of employment. All new hires are required to provide proof of full vaccination or receive approval for a medical or religious exemption before their hire date.