Coding Specialist II, Pain Management

About the role

Responsible for ensuring proper coding compliance, documentation accuracy, and adherence to coding guidelines and regulations.

Responsibilities

• Assign appropriate diagnosis codes (ICD-10) and procedure codes (CPT/HCPCS) to patient encounters based on medical documentation, physician notes, and other relevant information.
• Ensure compliance with coding guidelines, including those outlined by the American Medical Association (AMA), Centers for Medicare and Medicaid Services (CMS), and other regulatory bodies.
• Analyze medical records, including physician notes, laboratory results, radiology reports, and operative reports, to extract pertinent information for coding purposes.
• Maintain a high level of accuracy and quality in coding assignments to ensure proper reimbursement and minimize claim denials.
• Utilize coding software, encoders, and electronic health record systems to facilitate the coding process.
• Support coding compliance efforts by participating in coding audits, internal or external coding reviews, and documentation improvement initiatives.
• Maintain accurate records of coding activities, including tracking productivity, coding accuracy rates, and any coding-related issues or challenges.

Requirements

• High School Diploma or Equivalent required; Associate's Degree in Medical Billing and Coding preferred.
• Experience cannot substitute for the degree requirement.
• Certified Professional Coder (CPC) required; American Academy of Professional Coders (AAPC) certification preferred.
• 3–5 years of medical coding experience required.

Skills

• In-depth knowledge of medical coding systems, including ICD-10, CPT, and HCPCS, and their application in hospital billing.
• Familiarity with coding guidelines and regulations set by the AMA, CMS, and other relevant organizations.
• Strong analytical skills and attention to detail to accurately interpret medical documentation and assign appropriate codes.
• Excellent understanding of anatomy, physiology, medical terminology, and disease processes to support accurate coding.
• Excellent written and verbal communication skills to interact effectively with healthcare providers and billing staff.
• Ability to work independently, prioritize tasks, and meet deadlines in a fast-paced environment.

Benefits

Comprehensive benefits, career advancement opportunities, differentials, premiums and bonuses as applicable, and recognition programs designed to celebrate contributions and support professional growth.

Pay

$22.22 – $31.71 per hour (Grade 4).

Schedule

• Remote position.
• Work location: 399 Revolution Drive.
• 40 scheduled weekly hours.
• Regular, full-time employment.
• Day shift (United States of America).