Medical Coding Specialist II

About the role

We are seeking a detail-oriented and experienced Medical Coding Specialist to support accurate risk adjustment coding and documentation initiatives. In this role, you will analyze coding and documentation trends, perform retrospective chart reviews and audits, assign ICD-10-CM diagnosis codes, and collaborate with providers and operational teams to improve coding accuracy and risk capture. The ideal candidate is highly analytical, self-directed, and committed to maintaining the highest standards of coding quality and compliance.

Responsibilities

• Ensure accurate ICD‑10‑CM and CPT coding with zero errors.
• Validate diagnosis and treatment documentation, query providers for clarification.
• Stay current on coding guideline updates and communicate changes, trends, and payer issues to leadership.
• Use auditing tools to monitor accuracy, identify trends, and drive corrective action.
• Meet productivity benchmarks and maintain active professional coding certification.

Skills

• Strong analytical, problem-solving, and decision-making skills.
• Clear, adaptable communication and effective listening.
• High integrity, accountability, adaptability, and attention to detail.
• Patient-focused, compassionate, and compliant with ethical standards.
• Proactive, results-driven, quality-oriented, and collaborative team member.
• Demonstrates continuous learning, initiative, and technical proficiency.

Qualifications

• Associate’s degree or equivalent.
• 1+ year clinical and/or Medicare Risk Adjustment experience; quality improvement experience preferred.
• Healthcare and insurance industry experience.
• Knowledge of clinical standards, preventive care, and office-based procedures.
• Certified Professional Coder (CPC or equivalent).
• Show proficiency in Microsoft Excel, Word, Outlook, and Electronic Medical Record systems.

Requirements

Primarily sedentary with occasional standing, walking, and lifting (up to 25 lbs). Requires fine motor skills, visual acuity, and standard office environment tolerance.

Benefits

• Health, Dental, and Vision Insurance
• 401(K) Retirement Plan with Matching
• Employer-Paid Life Insurance and Short & Long-Term Disability
• Paid Time Off, Floating Holidays, and Paid Major Holidays
• Employee Assistance Program (EAP)

Pay

Compensation Range $20.90 to $31.35. The anticipated base salary range represents the Company's good-faith estimate of the compensation it reasonably expects to pay for this position at the time of posting. Actual compensation will be determined based on factors including experience, skills, qualifications, geographic location, internal equity, and business needs.