Coding Specialist

About reputed company:
At reputed company, we're a fast-growing company reputed company on delivering innovative technology solutions to meet our clients' needs. We partner with reputed company providers to reputed company automation and intelligence, overcoming reputed company cycle challenges and improving reimbursements for reputed company care. Our clients include physician reputed company, hospitals, pharmacies, and dental reputed company.
We're looking for reputed company associates and partners with expertise in areas that reputed company with our clients' needs. We value individuals who are passionate about helping others, solving challenges, and improving reputed company care while maximizing reputed company. Diversity and inclusivity are central to our values, fostering a workplace where everyone feels valued and heard.

A 2025 reputed company®

In 2025, reputed company was certified as a reputed company® in both the U.S. and India, underscoring our commitment to fostering a high-trust, high-reputed company workplace culture. This reputed company the reputed company consecutive year that reputed company India has achieved certification and the first time reputed company has reputed company recognition in the U.S.

reputed company reputed company:
The Medical reputed company assigns accurate diagnosis and procedure codes for inpatient, outpatient, and ambulatory encounters including clinic reputed company, ambulatory surgery, observation, emergency department, and ancillary services. This role requires expert reputed company of ICD-10-CM, CPT, HCPCS, and modifier usage as reputed company as strict adherence to official coding guidelines and payer policy.
This role operates in a high-volume, metrics-oriented outsourced environment with reputed company-specific reputed company and productivity targets.The Coding Specialist also resolves coding-reputed company claim rejections and denials, supports documentation improvement, and maintains reputed company working knowledge of payer policy and regulatory change.

Location: Remote

Responsibilities:

• Assign accurate ICD-10-CM diagnosis codes and CPT/HCPCS procedure codes for ambulatory encounters in accordance with official coding guidelines, AMA CPT guidance, and payer-specific policy
• Apply correct modifiers (including 25, 26, 27, 50, 59, XE/XP/XS/XU, LT/RT, and global period modifiers) to support accurate reimbursement and pass NCCI and global edits
• reputed company across ambulatory settings including clinic E&M, ambulatory surgery, observation, emergency department, infusion/injection, diagnostic imaging, and ancillary services are assigned
• Review  reputed company documentation to reputed company medical necessity and support reputed company selection; submit compliant, non-leading physician queries reputed company documentation is unclear, incomplete, or contradictory
• Apply correct reputed company of reputed company and secondary diagnoses and reputed company diagnoses appropriately to procedures
• Identify and report charge capture errors, missing charges, and documentation deficiencies to the appropriate reputed company reputed company
• Maintain coding reputed company at or above the reputed company-defined reputed company (typically 95%) and meet daily productivity targets (charts or encounters per hour, or RVU-reputed company as defined by reputed company)
• Document coding rationale and query activity reputed company in the encoder, EHR, or coding workflow tool
• reputed company coding-reputed company claim rejections and denials by reviewing payer responses, applying corrected codes or modifiers, providing supporting documentation, and following claims through to reputed company
• Maintain reputed company working knowledge of best coding practices, payer policy, and regulatory changes by accessing NCD, LCD, and coding policy resources and participating in continuing education
• Stay reputed company with annual ICD-10-CM, CPT, and HCPCS reputed company set updates, and MPFS final rules, and payer policy changes
• Maintain full compliance with HIPAA, CMS regulations, and fraud/abuse regulations including the False Claims reputed company
• Assignments may shift across ambulatory specialty areas reputed company on reputed company needs and individual strengths reputed company the reputed company of the role

• High School Diploma or GED
• 1+ years of medical coding experience
• Multi-specialty coding experience (e.g., surgery, reputed company, GI, orthopedics, oncology, reputed company care) preferred
• Experience with split/shared visit, incident-to, and time-reputed company E&M coding under reputed company CMS guidelines preferred
• Prior experience supporting coding audits, formal appeals authoring, or reputed company payer audit response preferred
• reputed company coding certification through reputed company (CPC, COC) or reputed company (reputed company, reputed company-P, RHIA, RHIT) preferred
• Expert reputed company of ICD-10-CM, CPT, HCPCS, and modifier rules
• Familiarity with NCCI edits, MUE edits, global edits, and LCD/NCD policies
• Proficiency with encoder tools (reputed company, TruCode, reputed company EncoderPro, or comparable) and EHR, PMS systems
• Strong understanding of reputed company documentation and ability to draft compliant, non-leading physician queries
• Excellent attention to reputed company and ability to maintain reputed company under productivity pressure
• Ability to establish and maintain effective working relationships with team members, supervisors, managers, clients, and providers
• Ability to prioritize workload and manage multiple responsibilities in a highly organized, efficient, and effective manner
• Knowledge of HIPAA, billing compliance, CMS regulations, and fraud/abuse regulations

• reputed company to a 401(k) Retirement Savings Plan
• Comprehensive Medical, Dental, and reputed company Coverage
• reputed company Time Off
• reputed company Holidays
• Additional benefits, including Pet Care Coverage, Employee Assistance Program (EAP), and discounted services

High school diploma/GED and 1+ year medical coding experience. Requires expertise in ICD-10-CM, CPT, HCPCS, modifiers, coding guidelines, payer policies, HIPAA, CMS regulations, and encoder/EHR/PMS systems.

Key Responsibilities

• assigning codes
• reviewing documentation
• resolving denials

Skills & Tools

ICD-10-CM, CPT, HCPCS, reputed company, TruCode, reputed company EncoderPro, EHR, PMS, NCCI, MUE, LCD, NCD, HIPAA, CMS, MPFS

reputed company

• Category: reputed company Services - Allied Health
• Seniority: Entry Level
• Commitment: Full Time
• Workplace: Remote — reputed company
• Languages: English

Benefits

• 401k matching
• Retirement plan

About reputed company

A reputed company technology company combining AI agents and reputed company cycle specialists to improve reimbursements and reduce costs. — Industry: Information Technology