We’re looking for an experienced Certified Coding Reimbursement Specialist II to join a growing Revenue Cycle Management team! This opportunity is ideal for a CPC-certified coder with strong professional-fee coding experience in a physician practice setting who can confidently review clinical documentation, assign accurate codes, and work independently in a fast-paced environment.
NOW HIRING: CERTIFIED CODING REIMBURSEMENT SPECIALIST II
WHAT YOU’LL DO
- Review physician documentation and charges to assign accurate CPT, ICD-10-CM, HCPCS, and modifier coding
- Interpret progress notes, operative reports, discharge summaries, and other clinical documentation
- Ensure coding accurately reflects services provided and meets payer and regulatory requirements
- Apply payer-specific coding rules, including bundling requirements and appropriate modifiers
- Review patient and clinical activity reports to ensure all billable services are captured
- Query physicians when documentation requires clarification
- Review documentation for compliance with third-party payer and regulatory guidelines
- Partner with reimbursement and revenue cycle teams to resolve coding and billing questions
- Meet established productivity and turnaround expectations while maintaining coding accuracy
WHAT WE’RE LOOKING FOR
- Active CPC certification required
- 3+ years of CPT and ICD-10 coding experience for physician services
- Professional-fee coding experience within a physician office/practice setting REQUIRED
- Advanced knowledge of CPT, ICD-10-CM, HCPCS, coding guidelines, and modifiers
- Strong understanding of medical terminology, anatomy, and physiology
- Knowledge of payer-specific requirements, bundling rules, NCDs and LCDs
- Familiarity with third-party billing and reimbursement requirements
- Ability to accurately interpret clinical documentation
- Strong attention to detail and ability to work independently
PREFERRED SPECIALTY EXPERIENCE
- Family Medicine
- Cardiology
- Internal Medicine
- Rheumatology
- Endocrinology
- Gynecology
- Dermatology
COMPENSATION
$24.50-$31.00/hour
LOCATION
100% remote candidates considered