Advanced Coding Specialist

OSS Health; York (York County); On-site; USD 65,000 - 90,000; Full time

Benefits offered by this job

Medical, Dental, Vision

PTO

401(k) plan

Disability & Life Insurance

Group Life Insurance

Job summary

OSS Health's Advanced Coding Specialist role focuses on coding physician and facility services across hospital, ASC, ED, and on-call settings, ensuring accurate ICD-10-CM/PCS, CPT, and HCPCS coding.

The position requires CPC/ CCS certification, surgical coding experience, and strong knowledge of NCCI edits and billing compliance; Monday–Friday 8am-4:30pm; competitive benefits.

Qualifications

• High school diploma or equivalent required.
• Active AAPC CPC or AHIMA CCS certification.
• Advanced specialty certification through AAPC or AHIMA (e.g. COC, CIC, COSC, CASCC, CANPC, CDEO, CDEI, CGSC, CIRCC).
• Minimum of 1 year hands-on surgical coding experience and facility-based billing.
• Strong understanding of CPT, HCPCS Level II, Anesthesia and ICD-10-CM coding.
• Knowledge of coding in surgical practices, ambulatory surgery centers, and hospital settings.

Responsibilities

• Examine operative reports, anesthesia records, and surgical findings to extract ICD-10-CM, ICD-10-PCS, CPT, and HCPCS codes.
• Ensure coding compliance with federal regulations, payer policies, HIPAA and industry standards.
• Identify and resolve documentation deficiencies; communicate with providers for clarification.
• Validate surgical requirements are met within clinical and financial records.
• Stay current on coding updates, payer guidelines, and healthcare regulations.
• Support overall revenue cycle efficiency.
• Maintain productivity goals set by department.
• Assist with E/M coding as needed.
• Other duties as assigned.

Skills

Surgical coding

NCCI edits

HIPAA compliance

English proficiency

Analytical skills

Independence

Education

High school diploma

AAPC CPC or AHIMA CCS

Tools

Coding software

Job description

At OSS Health, our mission is to continually strive to be the healthcare leader in quality,innovationand value. We make every effort to understand and exceed the expectations and needs of our patients.We are committed to providing an environment that is safe, respectful, and dignified at all times.

Joining OSS Health means joining a culture of excellence and teamwork, with a strong focus on employee development and community support. OSS Health offersa great workenvironment, professional development opportunities, meaningful careers, and competitive compensation.

JOB SUMMARY:

The Advanced Coding Specialist operates as a member of the Coding Department within Revenue Cycle Management. The Advanced Coding Specialist is responsible for coding physician and facility services for the hospital, ASC, ED consults, hospitalist services and/or on-call, offsite services.

SCHEDULE:

Monday-Friday - 8am-4:30pm

ESSENTIAL DUTIES AND RESPONSIBILITIES:

• Examine operative reports, anesthesia records, and surgical findings to extract accurate ICD-10 CM, ICD-10-PCS, CPT, and HCPCS codes based on payer, provider, and/or location billing requirements.
• Ensures coding compliance with federal regulations, payer policies, HIPAA and industry standards.
• Identify and resolve documentation deficiencies; communicate with providers when clarification is needed
• Validates surgical requirements are met within clinical and financial records
• Utilizes coding software, encoder and other resources provided
• Stay current on coding updates, payer guidelines, and healthcare regulations.
• Support overall revenue cycle efficiency
• Maintains productivity goals set by department
• Assists with E/M coding as needed
• Other duties as assigned.

EDUCATION:

• High school diploma or equivalent required

EXPERIENCE/QUALIFICATIONS:

• High school diploma or equivalent required
• Active AAPC, CPC or AHIMA CCS certification
• Active advanced specialty certification though AAPC or AHIMA (e.g. COC, CIC, COSC, CASCC, CANPC, CDEO, CDEI, CGSC, CIRCC)
• Minimum of 1-year hands-on surgical coding experience and facility-based billing
• Strong understanding of CPT, HCPCS Level II procedure and supply codes, Anesthesia coding, and ICD-10-CM diagnosis coding.
• Knowledge of coding in surgical practices, ambulatory surgery centers, and inpatient and outpatient hospital settings.
• Strong understanding of National Correct Coding Initiative (NCCI) edits, medical necessity requirements and bundling guidelines.
• Advanced analytical and problem-solving skills.
• Ability to work independently
• High-level knowledge of general surgery-related medical terminology, anatomy, and pathophysiology.
• Fluent written and spoken English required.

BENEFITS INCLUDE:

• Competitive Wages
• Medical, Dental, Vision available on the first day of employment
• Disability, and Life Insurance within90 days
• Company-PaidGroup Life Insurance, Short-Term Disability & Long-Term Disability
• Paid Time Off (PTO)
• 401(k) plan and profit sharing

Equal Opportunity Employer

This employer is required to notify all applicants of their rights pursuant to federal employment laws.For further information, please review the Know Your Rights notice from the Department of Labor.