Assigns and aligns predefined codes, tabulates the data into the computer system, generates new codes, resolves edits and denials, and maintains proper records in accordance with CLS guidance and procedures. Conducts regular reviews to ensure billing is timely, accurate, and in compliance.
Requirements
- High school diploma or equivalent; associate degree in Health Information Management or related field preferred.
- Active coding certification such as CPC, CPC-A (AAPC), CCA, CCS, CCS-P (AHIMA).
- Knowledge of medical terminology, anatomy, and pathophysiology.
- Experience working with EHR systems and encoder software.
- Strong analytical skills and exceptional attention to detail.
- 1–3 years of professional coding experience in outpatient, inpatient, or professional coding.
- Experience coding for specialties such as family medicine, emergency medicine, cardiology, orthopedics, or surgery.
- Familiarity with risk adjustment/HCC coding (if applicable).
- Knowledge of payer guidelines and claims processing workflows.
Benefits
- 401(k)
- 401(k) matching
- Dental Insurance
- Disability insurance
- Health insurance
- Life insurance
- Paid time off
- Vision insurance