AI-Driven Medical Coding & Revenue Champion

Pediatric Therapy Associates; Lexington (SC); On-site; USD 68,000 - 90,000; Full time

Job summary

Pediatric Therapy Associates is seeking a Coding Specialist to ensure accurate, compliant, and optimized medical coding across the organization. The role focuses on documentation integrity, clean claim submission, and revenue cycle performance.

The specialist will adopt AI-assisted coding tools, collaborate with providers and billing staff, and lead education initiatives to improve coding quality and workflows within PTA.

Qualifications

• Experience with medical coding and documentation
• Knowledge of CPT/HCPCS/ICD-10 coding
• Familiarity with payer policies and regulatory requirements

Responsibilities

• Culture Champion: model engagement and PTA mission in coding workflows.
• Customer/Patient Supporter: ensure accurate coding and appropriate billing outcomes.
• Coding Professional: review provider documentation and assign accurate codes per guidelines.
• Coding Quality & Accuracy: identify coding errors and opportunities for improvement.
• Technology & Innovation Champion: support AI-assisted coding tools and automation workflows.
• Clinical Documentation Integrity: collaborate with providers to improve documentation quality.
• Denial & Audit Specialist: analyze denials and support corrective actions.
• Payer & Regulatory Compliance: stay current with payer rules and coding guidelines.
• Team Collaborator: align coding with billing and documentation processes.
• Subject Matter Expert: advise staff on complex coding questions and policy requirements.
• Education & Training: provide coding education and ongoing coaching.
• Continuous Learner: keep up with industry best practices and coding technologies.
• Process Improvement: streamline workflows and reduce manual steps.
• Reporting & Accountability: monitor metrics and communicate findings to leadership.
• Special Projects: participate in system implementations and audits.
• Other Duties: perform related tasks as assigned.

Job description

Pediatric Therapy Associates is seeking a Coding Specialist to ensure accurate, compliant, and optimized medical coding across the organization. The role focuses on documentation integrity, clean claim submission, and revenue cycle performance.

The specialist will adopt AI-assisted coding tools, collaborate with providers and billing staff, and lead education initiatives to improve coding quality and workflows within PTA.