Coding Specialist II
About the role
Join TriHealth as a Coding Specialist II! At TriHealth, our Medical Coding Specialists play a key role in supporting accurate, compliant, and high‑quality patient care. In this position, you’ll review provider documentation, assign correct ICD and CPT codes, research denials, and collaborate with clinical teams to ensure clarity and consistency in documentation and coding practices. At TriHealth, you’ll join a supportive, mission‑driven environment where your expertise is valued, and your work makes a meaningful impact. Location: Works at Home.
Responsibilities
- Assists with coding/billing questions from both internal and external customers, including follow‑up on denials, research, and review of charts for potential coding issues.
- Follow up with provider on any documentation that is insufficient or unclear and escalate where necessary.
- Communicate with other clinical staff regarding documentation trends.
- Maintains a close working relationship with all departments and internal customers including leadership and consolidates efforts to ensure appropriate and standardized coding procedures are followed.
- Ensures understanding and compliance with coding protocols, rules and regulations from government agencies, insurance companies, and other resources.
- Maintains knowledge of current coding revisions and effectively communicates changes with provider.
- Maintains accurate and current CPT and ICD-10‑CM resources within the billing and clinical systems.
- Validate and/or abstract codes specific to diagnoses and procedures, using ICD and CPT codes.
- Receive and review patient charts and documents to ensure codes are accurate and sequenced correctly and in accordance with government and insurance requirements.
- Ensure that all codes are current, active, and billable according to CCI.
Requirements
- Associate’s degree (equivalent experience accepted in lieu of degree)
- Current professional coding credential: CPC‑A, CPC, CCS‑P, CCA, CMC, CCS, RHIA, RHIT, COC, CMC (as listed)
- Extensive knowledge of ICD‑10‑CM and CPT coding methodologies
- Abstract coding of inpatient and outpatient medical records
- Extensive knowledge of medical terminology and anatomy
- 3‑4 years’ experience in a related field
Benefits
TriHealth offers a comprehensive benefits package - including medical, dental, vision, paid time off, retirement plans, and tuition reimbursement. Please view our benefits page https://careers.trihealth.com/what-we-offer/benefits
Schedule
Work Schedule: Full-Time (80 hours biweekly) Day Shift – No Weekend, Holiday or On Call Commitment