HB-PB Coding Specialist II

Accountabilities

• Review medical records to identify diagnoses, procedures, and services requiring coding assignment.
• Assign accurate ICD-10, CPT, and modifier codes for inpatient, observation, same-day care, and other patient classes.
• Perform hospital and professional coding activities while ensuring compliance with applicable coding guidelines and regulations.
• Complete split claim processes to support accurate reimbursement and proper account handling.
• Maintain current coding knowledge through training, seminars, internal meetings, reference materials, and regulatory updates.
• Review documentation to ensure data accuracy and support clean claim generation.
• Communicate with physicians and other healthcare professionals to obtain necessary information for accurate coding.
• Monitor provider documentation practices, perform audits, and provide education when coding improvements are needed.
• Assist revenue cycle teams with claim development and resolution of complex patient accounts.
• Maintain productivity and quality standards while managing multiple priorities in a fast-paced environment.

Requirements

• Professional medical coding experience.
• Strong knowledge of healthcare documentation standards.
• Ability to work independently while maintaining accuracy.
• Excellent analytical skills, attention to detail, and effective communication abilities.
• High school diploma or equivalent.
• Current coding or health information management certification through an accredited organization such as AHIMA or AAPC.
• Minimum of 2 years of medical coding experience.
• Experience with physician office coding preferred.
• Knowledge of ICD-10, CPT, coding modifiers, medical terminology, anatomy, and physiology.
• Ability to interpret complex medical records and assign appropriate codes accurately.
• Strong organizational skills with the ability to prioritize and complete assigned tasks.
• Excellent written and verbal communication skills.
• Ability to maintain focus, accuracy, and productivity while managing interruptions.
• Strong problem-solving and independent decision-making abilities.
• Ability to adapt to changing processes, technology, and workplace requirements.

Benefits

• Comprehensive benefits package.
• Full-time remote work opportunity.
• Competitive compensation package.
• Healthcare and wellness benefits.
• Opportunities for professional development and continued coding education.
• Supportive environment focused on quality, compliance, and operational excellence.
• Opportunities to collaborate with healthcare professionals and operational teams.
• Stable work environment within a mission-driven healthcare setting.