Medical Coding Specialist
$54,080–$62,400 year
On-siteMiddle River, Maryland, United States
Job Summary
Assign diagnosis and procedure codes to professional billing encounters based on medical record documentation and applicable coding guidelines. Review moderately complex cases involving multiple diagnoses or comorbid conditions, utilizing revenue cycle systems to identify claim issues and resolve discrepancies independently. Collaborate with providers to clarify documentation and ensure compliance with federal, state, and payer guidelines while maintaining quality standards. Focus on professional fee coding including CPT, ICD-10-CM, HCPCS, and E/M leveling within a physician-based environment. Monday through Friday, 8:00am-4:30pm or 8:30am-5:00pm, at $26-30 per hour.
Required Qualifications
- Minimum of an Bachelors Degree in HIM, Medical Coding, or related field; or a minimum of high school diploma or GED and 2 years work experience in medical coding can be substituted for Bachelors Degree
- CPC (AAPC Certified Professional Coder), CCA (Certified Coding Associate), or CCS-P (Certified Coding Specialist – Physician) certification is required
- Knowledge of Medicare, Medicaid, and commercial payer policies, including coding compliance standards and regulatory requirements
- Demonstrated knowledge of CPT and HCPCS coding systems, medical terminology, anatomy and physiology, and professional billing coding guidelines
- Demonstrated knowledge of ICD10 is required
- Experience utilizing coding and revenue cycle systems to review work queues, resolve coding edits, and support accurate claim submission
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