Coding Specialist

Paycom

Rocky Hill (CT)

Hybrid

USD 38,000 - 51,000

Full time

6 days ago
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Benefits offered by this job

401(k)
Dental insurance
Health insurance
Life insurance
Paid time off
Vision insurance
Flexible spending account
Employee assistance program

Job summary

Connecticut GI, a division of GI Alliance, is seeking a full-time Coding Specialist to join our Billing Department. The role requires certified-level coding expertise to assign CPT/HCPCS and ICD‑10 codes, apply modifiers, and ensure payer/regulatory compliance.

You will help prevent denials and support revenue integrity across specialties. The position offers a hybrid work model with on-site requirements; energizing a collaborative environment with clinicians and staff.

Qualifications

  • Active coding certification required (CPC, CCS, COC, or equivalent).
  • 1–2 years coding experience preferred; specialty experience a plus.
  • Strong knowledge of CPT/HCPCS, ICD‑10, and modifier usage.

Responsibilities

  • Independently review clinical documentation and assign CPT/HCPCS and ICD‑10 codes.
  • Apply modifiers and coding rules per CMS, AMA, and payer guidelines.
  • Resolve complex charge review edits and coding-related claim issues.
  • Identify denial trends and escalate for process improvement.
  • Collaborate with providers to clarify documentation for compliant coding.
  • Maintain productivity and accuracy benchmarks for certified coders.

Skills

CPT/HCPCS
ICD-10
Modifiers
Analytical skills
Attention to detail

Education

High school diploma

Tools

Epic EMR
Encoder software
Microsoft Office

Job description

Coding Certification Required (CPC, CCS, or equivalent)Connecticut GI, a division of GI Alliance, is looking for a full-time experienced Coding Specialist to join our Billing Department! We are the largest gastroenterology practice in the state of Connecticut with over 30 Care Centers and still growing. Our employees are the foundation of our practice, and we pride ourselves on the fact that we have been named a TOP WORKPLACE 8 times! Our team of clinical and administrative support staff work collaboratively with our physicians and advanced practitioners to provide our patients with the most comprehensive and compassionate care. Here at CTGI our promise is to treat every patient as if they were a member of our own families, and we are looking for team members who also embody this vision!A Short List of Reasons Why You Should Work For CTGISelected as a Top Workplace 8 TimesCompetitive PayVery Fast-Growing PracticePosition SummaryThe Coding Specialist performs advanced coding and charge review functions requiring certified-level expertise. This role independently interprets clinical documentation, assigns CPT/HCPCS and ICD‑10 codes, applies modifiers, and ensures compliance with payer, regulatory, and organizational guidelines. Support denial prevention, coding accuracy, and revenue integrity across assigned specialties.Key ResponsibilitiesIndependently review clinical documentation and assign accurate CPT/HCPCS and ICD‑10 codesApply modifiers and coding rules in accordance with CMS, AMA, and payer-specific guidelinesResolve complex charge review edits and coding-related claim issuesPerform coding quality checks and provide feedback to providers or operational teamsIdentify trends in denials or documentation gaps and escalate for process improvementCollaborate with providers to clarify documentation and support compliant codingMaintain productivity and accuracy benchmarks for certified codersServe as a resource for Level 1 staff and assist with trainingOther duties as assignedQualificationsEducation:High school diploma or GED completion is required.Active coding certification required (CPC, CCS, COC, or equivalent)Experience:1–2 years of coding experience preferred; specialty experience a plusStrong knowledge of CPT/HCPCS, ICD‑10, and modifier usageFamiliarity with payer policies, NCCI edits, and compliance standardsProficiency with EHR and coding tools (Epic, encoder software, etc.)Strong analytical and problem‑solving skillsRequirements for Coding Specialist Status:Acting coding certification (CPC, CCS, COC, or equivalent)Intermediate experience (4+ years’ experience) and/or acting more independentlyTakes on some additional duties to assist the office.Strong and consistent performer.Job Type: Full-timeSalary: From $27.91 - 36.96 per hour, depending on experience. Offers are multifactorial.Benefits:401(k)Dental insuranceEmployee assistance programFlexible spending accountHealth insuranceLife insurancePaid time offVision insuranceSchedule:8 hour shiftDay shiftMonday to Friday 8:00am - 4:30pmWork Location: Hybrid. Must work on-site for the first 90 days.QualificationsEducation: High school diploma or GED completion is required. Professional Coding Certification with American Academy of Professional Coders AAPC: Certified Professional Coder (CPC) is required.Experience: Experience working with EMR and in medical coding preferred.Requirements for Level I Status:Entry level (1-4 years experience) and/or meet the basic requirements of the job with the need for additional supervision.Excess of 4 years experience if meeting only the basic requirements of the job with need for additional supervision.Performance Requirements:Good working knowledge of medical terminology and anatomy.Knowledge of current third party billing and collection regulations and requirements.Good interpersonal skills and written and verbal communication skills.Ability to gather and interpret clinical data.Ability to utilize Microsoft Office and alpha numeric data entry.Strong attention to detail and decision making skills.GI Alliance is an Equal Opportunity Employer. We are committed to creating an inclusive, welcoming, and equitable work environment. Our company values and celebrates the diversity of our physicians, staff and patients. We firmly believe our service is greatly enriched by our diversity of thought, experience, perspective, culture, and background.Please Note: All job offers are contingent on the successful completion of pre-employment criminal history check.NOTE: ALL APPLICATIONS MUST BE COMPLETED IN FULL FOR CONSIDERATION.No phone calls or agencies, please.EEO/AA-M/F/disabled/protected veteran
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