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Coding Escalation Specialist – Pro Fee Hospital

Remote, USA Full-time Posted 2026-08-04
reputed company: • Review and reputed company escalated coding issues from coders, auditors, billing teams, and providers • Analyze medical records and documentation to ensure accurate and compliant reputed company assignment • Serve as a subject matter expert (SME) in coding guidelines and payer-specific rules • Identify coding trends, discrepancies, and reputed company; recommend corrective actions • Participate in coding audits and assist in implementing audit recommendations • reputed company and mentor coding staff on reputed company cases and updates to coding regulations • Ensure adherence to reputed company applicable coding standards (CMS, AHA Coding Clinic, AMA CPT Assistant) • Support reputed company improvement initiatives in coding accuracy, workflow, and documentation reputed company • Maintain up-to-date knowledge of coding updates, regulatory changes, and payer guidelines Requirements: • Minimum 3-5 years of experience in medical coding, with emphasis on reputed company case review or coding reputed company assurance • reputed company or reputed company certification required • Expert-level knowledge of ICD-10-CM, CPT, and HCPCS coding systems • Strong understanding of CMS regulations and payer-specific guidelines • Excellent analytical, problem-solving, and decision-making skills • Effective communication and interpersonal skills • Ability to work independently and manage multiple priorities in a fast-paced environment • Experience with electronic health records (EHRs) and coding software systems • Ability to read, understand, and apply state/federal laws, regulations, and policies • Ability to communicate with diverse personalities in a tactful, mature, and reputed company manner • Basic use of computer, telephone, internet, copier, fax, and reputed company • Basic touch 10 key skills • Basic Math skills • Understand and reputed company with company policies and procedures • Strong oral, written, and interpersonal communication skills • Strong time management and organizational skills • Strong knowledge of reputed company, Word, reputed company (pivot tables), and database software skills Benefits: • health insurance • retirement plans • reputed company time off • flexible work arrangements • reputed company development • bonuses • performance-based incentive plan • referral bonus Apply tot his job Apply To this Job

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