Sr Clinical Coding Specialist -Evaluation and Management Coder

Responsibilities

• Communicate effectively with coding team members, management, business office staff, and external stakeholders
• Provide detailed questions and feedback to management and coordinators on coding issues, reviews, and training needs
• Offer supportive input on internal and external coding correction requests and re-reviews
• Report workflow issues and system concerns promptly to management
• Pursue professional development through continuing education, literature, coding rounds, seminars, and training forums
• Provide feedback on documentation challenges and potential compliance concerns
• Identify opportunities for coding clinic updates and process improvements
• Participate actively in team and departmental meetings

Qualifications

• Maintain pre-AR accounts and baseline thresholds as directed by coding leadership
• Apply official coding guidelines, coding clinics, departmental policies, and Craneware usage appropriately
• Initiate physician queries when documentation is unclear, ambiguous, or incomplete
• Review medical records and assign accurate Evaluation and Management CPT, ICD-10 CM, LCD/NCD, and NCCI codes
• Utilize EPIC and coding resources to ensure correct professional claim coding
• Adhere to AHIMA and AAPC ethical coding standards and HIPAA compliance regulations

Education and Experience

• Required: Associate's Degree in Health Information Management, Healthcare Administration, or related healthcare field
• Required: 5 years clinical coding experience for complex or multi-specialties
• Preferred: Bachelor's Degree in Health Information Management, Healthcare Administration, or related healthcare field
• Preferred: Evaluation & Management, in office procedures, oncology coding, EPIC experience, and auditing experience

Skills

• Strong expertise in clinical coding practices, including CPT, ICD-10, and regulatory guidelines
• Experience in professional coding environments
• Effective communication skills
• Professional development through continuing education and training forums
• Ability to identify and implement process improvements

Benefits

• Employer-paid medical coverage starting day one for employees working 30+ hours/week
• Optional group dental, vision, life, AD&D, and disability insurance
• Accruals for PTO and Extended Illness Bank
• Paid holidays
• Wellness, childcare, and other leave options
• Tuition Assistance Program after six months of service
• Defined-benefit pension through the Teachers Retirement System
• Voluntary retirement plans
• Employer-paid life and reduced salary protection programs

Pay

Minimum $32.21 - Midpoint $40.14 - Maximum $48.08

Schedule

Work Location: Remote but must be able to attend meetings quarterly.

The typical work schedule is Monday - Friday - Flexible hours.