Coding Specialist

OSS Health; Warner Robins (GA, PA); On-site; USD 52,000 - 68,000; Full time

Benefits offered by this job

Competitive Wages

Medical, Dental, Vision on day one

Disability Insurance

Life Insurance (Company-Paid)

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 codes and units from medical records for pro-fee billing.

Responsibilities include reviewing records, ensuring regulatory and payer compliance, and maintaining HIPAA confidentiality while maximizing reimbursement. Strong English communication is required.

Qualifications

• Active coding certification through AAPC or AHIMA.
• Minimum of 1 year hands-on medical coding experience.
• Strong working knowledge of ICD-10, CPT, & HCPCS coding systems.
• Ability to work independently.
• Fluent written and spoken English required.

Responsibilities

• Reviews medical records to assign ICD-10 CM, CPT, and HCPCS codes.
• 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 and payer guidelines.
• Maintain HIPAA compliance and confidentiality.
• Optimize claims for accurate, maximum reimbursement.
• Support overall revenue cycle efficiency.
• Maintains productivity goals set by department.

Skills

AAPC/AHIMA Certification

Medical Coding Experience

ICD-10-CPT-HCPCS Knowledge

MDM & E/M Guidelines

English Proficiency

Education

High School Diploma or Equivalent

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
• Career Advancement Opportunities