Coding Specialist

OSS Health; United States; On-site; USD 52,000 - 78,000; Full time

Benefits offered by this job

Medical, Dental, Vision benefits

401(k) with profit sharing

Paid Time Off

Group life and disability insurance

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 codes, modifiers, and units from medical records for professional fee billing.

Schedule is Monday–Friday, 8am–4:30pm. The candidate should have an active coding certification (AAPC/AHIMA) and at least 1 year of hands-on medical coding experience, with fluent English. Competitive benefits are offered.

Qualifications

• Active coding certification through AAPC or AHIMA preferred.
• Minimum of 1-year hands-on medical coding experience.
• Strong working knowledge of ICD-10, CPT, and HCPCS coding systems.

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; stays current on coding updates and guidelines.
• Maintain HIPAA compliance and confidentiality; optimize claims for maximum reimbursement.

Skills

ICD-10 coding

CPT/HCPCS coding

MDM guidelines

Independent work

English proficiency

Education

High school diploma

Coding certification (AAPC/AHIMA)

Job description

At OSS Health, our mission is to continually strive to be the healthcare leader in quality,innovationand 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 offersa great workenvironment, professional development opportunities, meaningful careers, and competitive compensation.

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 within90 days
• Company-PaidGroup Life Insurance, Short-Term Disability & Long-Term Disability
• Paid Time Off (PTO)
• 401(k) plan and profit sharing

Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws.For further information, please review the Know Your Rights notice from the Department of Labor.