Coding Reimbursement Specialist II
Hybrid · Charlotte, North Carolina, United States
Job Summary
Coding Reimbursement Specialist II role focused on accurately coding physician services. Responsibilities include performing initial charge review to assign CPT and ICD-10 codes, interpreting clinical documentation to determine services rendered, entering codes and modifiers into the TMP billing system, ensuring timeliness and compliance with third-party guidelines, querying physicians as needed, reviewing patient logs and clinical documentation, and collaborating with Reimbursement staff to resolve coding/billing inquiries. Requires strong medical terminology and coding knowledge (CPT/ICD-10), familiarity with AMA guidelines, payer rules, NCDs/LCDs, and CPC certification maintenance. This is a full-time hybrid or remote position based in Charlotte, NC (onsite/hybrid travel as applicable) with Monday–Friday, 8 am–5 pm schedule.
Required Qualifications
- High school diploma or GED completion is required
- Minimum of three (3) years’ experience with CPT and ICD-10 coding of physician services
- Coding certification required; CPC Certification preferred; active certification and CEUs maintained during tenure
- Advanced working knowledge of medical terminology, anatomy, and physiology
- Knowledge of payer-specific rules regarding coding, bundling, and modifiers
- Understanding of regulatory guidelines including NCDs and LCDs
- Experience in relevant specialties such as Family Practice, Internal Medicine, Cardiology, Rheumatology, Endocrinology, Gynecology, Dermatology
- Advanced knowledge of ICD-10-CM/PCS and CPT/HCPCS coding systems and conventions
- Knowledge of Official Coding Guidelines and methodologies
- Ability to work independently in a fast-paced environment
- Good interpersonal skills and basic team collaboration
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