Coding Specialist

OSS Health; Pennsylvania; On-site; USD 52,000 - 76,000; Full time

Benefits offered by this job

Competitive Wages

Medical, Dental, Vision on first day

Disability, Life Insurance within 90d

Group Life Insurance, Short/Long-Term障

Paid Time Off (PTO)

401(k) plan and profit sharing

Career Advancement Opportunities

Job summary

OSS Health is seeking a Coding Specialist to join the Coding Department within Revenue Cycle Management. The role focuses on abstracting CPT, HCPCS, ICD-10-CM, modifiers, and units for pro-fee billing.

Schedule: Monday-Friday - 8am-4:30pm. Requirements include active coding certification (AAPC/AHIMA), 1 year of coding experience, and fluency in English. Competitive benefits and opportunities for growth are offered.

Qualifications

• High school diploma or equivalent required.
• Active coding certification through AAPC or AHIMA (CPC, CIC, COC, CRC, CPMA, CCS, CCS-P, RHIA, RHIT, CPC-A, etc.).
• Minimum Of 1-year Hands-on Medical Coding Experience.
• Strong working knowledge of ICD-10, CPT, & HCPCS coding systems.
• Ability to work independently.
• Strong knowledge of MDM leveling and E/M coding guidelines.
• Fluent written and spoken English required.

Responsibilities

• Reviews medical records to assign accurate ICD-10 CM, CPT, and HCPCS codes based on payer, provider, and/or location billing requirements.
• Ensures coding compliance with federal regulations, payer policies, and industry standards.
• Identify and resolve documentation deficiencies; communicate with providers when clarification is needed.
• Validates documentation supports level of service selection.
• Utilizes coding software, encoder and other resources provided.
• Stay current on coding updates, payer guidelines, and healthcare regulations.
• Maintain strict HIPAA compliance and confidentiality.
• Optimize claims for accurate, maximum reimbursement.
• Support overall revenue cycle efficiency.
• Maintains productivity goals set by department.
• Other duties as assigned.

Skills

MDM guidelines

E/M coding guidelines

ICD-10 knowledge

CPT/HCPCS knowledge

Independent work

English fluency

Education

High school diploma or equivalent

Coding certification (AAPC/AHIMA)

Tools

Coding software

Encoder

Job description

At OSS Health, our mission is to continually strive to be the healthcare leader in quality, innovation and 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 offers a great work environment, professional development opportunities, meaningful careers, and competitive compensation.

Are you ready to provide a 5-star "OSSOME" experience?

JOB SUMMARY:

The Coding Specialist operates as a member of the Coding Department within Revenue Cycle Management. The Coding Specialist is responsible for abstracting all CPT, HCPCS, ICD-10-CM, modifier, and units from the medical record documentation for pro-fee billing.

SCHEDULE:

Monday-Friday - 8am-4:30pm

ESSENTIAL DUTIES AND RESPONSIBILITIES:

• Reviews medical records to assign accurate ICD-10 CM, CPT, and HCPCS codes based on payer, provider, and/or location billing requirements.
• Ensures coding compliance with federal regulations, payer policies, and industry standards.
• Identify and resolve documentation deficiencies; communicate with providers when clarification is needed.
• Validates documentation supports level of service selection.
• Utilizes coding software, encoder and other resources provided.
• Stay current on coding updates, payer guidelines, and healthcare regulations.
• Maintain strict HIPAA compliance and confidentiality.
• Optimize claims for accurate, maximum reimbursement.
• Support overall revenue cycle efficiency.
• Maintains productivity goals set by department.
• Other duties as assigned.

EDUCATION:

High school diploma or equivalent required.

EXPERIENCE/QUALIFICATIONS:

• Active coding certification through AAPC or AHIMA (CPC, CIC, COC, CRC, CPMA, CCS, CCS-P, RHIA, RHIT, CPC-A, etc.).
• Minimum Of 1-year Hands-on Medical Coding Experience.
• Strong working knowledge of ICD-10, CPT, & HCPCS coding systems.
• Ability to work independently.
• Strong knowledge of MDM leveling and E/M coding guidelines.
• Fluent written and spoken English required.

BENEFITS INCLUDE:

• Competitive Wages
• Medical, Dental, Vision available on the first day of employment
• Disability, and Life Insurance within 90 days
• Company-Paid Group Life Insurance, Short-Term Disability & Long-Term Disability
• Paid Time Off (PTO)
• 401(k) plan and profit sharing
• Career Advancement Opportunities