Coding Specialist

Cass-Health; Sycamore Village (IA); Hybrid; USD 48,000 - 68,000; Full time

Benefits offered by this job

Hybrid work after probation

Job summary

Cass Health in Atlantic, IA is seeking a detail-oriented Coding Specialist to ensure accuracy and compliance in patient records. You will review documentation, assign ICD-10-CM/PCS, CPT, HCPCS codes, and support reimbursement while collaborating with clinicians.

The role requires coding certification (AAPC or AHIMA), a high school diploma, and 2+ years of coding experience. You will work with EHR systems, stay current with regulations, and participate in quality improvement to promote accurate

Qualifications

• High School Diploma or GED required.
• Current coding certification through AAPC or AHIMA required (CPC/CCS/CCA/RHIT/RHIA or equivalent).
• Two+ years of medical coding experience preferred.
• Knowledge of ICD-10-CM, ICD-10-PCS, CPT, HCPCS and modifier assignment must be demonstrated.

Responsibilities

• Review and analyze medical records for completeness and compliance with regulations.
• Abstract clinical information from records and assign ICD-10-CM/PCS, CPT, HCPCS codes.
• Ensure records support appropriate reimbursement and regulatory compliance.
• Maintain confidentiality per HIPAA requirements.
• Participate in coding audits and quality improvement initiatives.

Skills

ICD-10-CM/PCS

CPT/HCPCS

Medical terminology

Anatomy/physiology

Documentation accuracy

EHR systems

Coding software

Regulatory compliance

Education

High School Diploma or GED

Tools

EHR systems

Coding software

Job description

Cass Health
1501 E 10th St
Atlantic, IA 50022, USA

Description

Coding Specialist

Full-Time (80 Hours/Pay Period)

Schedule: Monday-Friday, set schedule upon hire
Work Arrangement: Hybrid/Remote options available after successful completion of the probationary period

What You'll Do

As a Coding Specialist, you will play a critical role in ensuring the accuracy, integrity, and compliance of patient health records. You will review clinical documentation, assign appropriate diagnostic and procedural codes, support reimbursement processes, and collaborate with providers to promote accurate clinical documentation and coding practices.

In this role, you will:

• Review and analyze medical records for completeness and compliance with organizational, state, and federal requirements.
• Abstract clinical information from medical records, charts, and supporting documentation.
• Assign accurate ICD-10-CM, ICD-10-PCS, CPT, HCPCS, and modifier codes based on provider documentation and coding guidelines.
• Ensure coded records support appropriate reimbursement, quality reporting, research, and regulatory compliance.
• Verify patient information and confirm all documents are accurately matched to the appropriate medical record.
• Maintain advanced knowledge of coding regulations, reimbursement methodologies, and compliance requirements through continuous education and review of guidance from Medicare, commercial payers, AAPC, AHIMA, and other regulatory organizations.
• Review and resolve coding-related claim denials and assist with resubmissions as needed.
• Monitor delinquent and deficient records to support compliance with Medicare, Medicaid, and organizational standards.
• Collaborate with physicians and clinical staff to improve documentation quality and support clinical documentation improvement initiatives.
• Demonstrate a strong understanding of medical terminology, anatomy, physiology, and healthcare regulations.
• Participate in quality improvement activities and coding audits as assigned.
• Utilize electronic health records and coding software to ensure accurate and timely coding and record completion.
• Maintain confidentiality and security of patient information in accordance with HIPAA requirements.
• Perform all other duties as assigned.

What We're Looking For

We're seeking a detail-oriented professional with strong analytical skills, coding expertise, and a commitment to accuracy and compliance. The ideal candidate enjoys working independently while collaborating with providers and healthcare teams to support quality patient care and organizational success.

Required Education

• High School Diploma or GED

Required Licenses & Certifications

• Current coding certification through AAPC or AHIMA (such as CPC, CCS, CCA, RHIT, RHIA, or equivalent)

Preferred Experience

• Two (2) or more years of medical coding experience
• Equivalent combination of education and related experience may be considered

Required Skills & Qualifications

• Knowledge of ICD-10-CM, ICD-10-PCS, CPT, HCPCS, and modifier assignment
• Strong understanding of medical terminology, anatomy, physiology, and disease processes
• Knowledge of healthcare reimbursement methodologies and regulatory requirements
• Strong attention to detail and commitment to accuracy
• Excellent organizational, communication, and problem-solving skills
• Ability to independently prioritize workload and meet productivity standards
• Proficiency with electronic health records and coding software
• Ability to maintain confidentiality and handle sensitive information appropriately

Preferred Qualifications

• Experience with hospital and physician coding
• Experience with denial management and claim resolution
• Clinical documentation improvement (CDI) experience
• Familiarity with Medicare, Medicaid, and commercial payer guidelines

Join our team and help ensure accurate documentation, quality reporting, regulatory compliance, and appropriate reimbursement while supporting exceptional patient care.

Equal Opportunity Employer
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