Coding Specialist (32728)

GI Alliance; Rocky Hill (CT); Hybrid; USD 38,000 - 51,000; Full time

Benefits offered by this job

401(k)

Dental insurance

Employee assistance program

Flexible spending account

Health insurance

Life insurance

Paid time off

Vision insurance

Job summary

Connecticut GI, a division of GI Alliance, is seeking a full-time experienced Coding Specialist to join our Billing Department. Hybrid work arrangement with on-site requirement for the first 90 days, competitive pay, and growth opportunities in a large gastroenterology practice.

The role focuses on accurate coding, denial prevention, and revenue integrity across specialties. Ideal candidates hold CPC/CCS/COC or equivalent certification, 1–2 years coding experience, and proficiency with EMR

Qualifications

• High school diploma or GED required, with professional coding certification.
• Active coding certification CPC/CCS/COC or equivalent.
• Experience with EMR systems and coding required or preferred.
• Strong knowledge of CPT/HCPCS, ICD-10, and modifiers.

Responsibilities

• Independently review clinical documentation and assign CPT/HCPCS and ICD-10 codes.
• Apply modifiers per CMS, AMA, and payer guidelines.
• Resolve complex charge review edits and coding-related issues.
• Support denial prevention and revenue integrity.
• Assist with training and serve as a resource for staff.

Skills

CPT/HCPCS coding

ICD-10 coding

Medical coding tools

Epic EHR

Encoder software

Analytical skills

Problem-solving

Education

High school diploma or GED

AAPC CPC/ CCS/ COC certification

Tools

Epic

Encoder software

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 CTGI

• Selected as a Top Workplace 8 Times
• Competitive Pay
• Very Fast-Growing Practice

Position Summary

The 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 Responsibilities

• Independently review clinical documentation and assign accurate CPT/HCPCS and ICD‑10 codes
• Apply modifiers and coding rules in accordance with CMS, AMA, and payer-specific guidelines
• Resolve complex charge review edits and coding-related claim issues
• Perform coding quality checks and provide feedback to providers or operational teams
• Identify trends in denials or documentation gaps and elevate for process improvement
• Collaborate with providers to clarify documentation and support compliant coding
• Maintain productivity and accuracy benchmarks for certified coders
• Serve as a resource for Level 1 staff and assist with training
• Other duties as assigned

Qualifications

• 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 plus
• Strong knowledge of CPT/HCPCS, ICD‑10, and modifier usage
• Familiarity with payer policies, NCCI edits, and compliance standards
• Proficiency with EHR and coding tools (Epic, encoder software, etc.)
• Strong analytical and problem‑solving skills

Requirements For Coding Specialist Status

• Acting coding certification (CPC, CCS, COC, or equivalent)
• Intermediate experience (4+ years’ experience) and/or acting more independently
• Takes on some additional duties to assist the office.
• Strong and consistent performer.

Job Type: Full-time

Salary: From $27.91 - 36.96 per hour, depending on experience. Offers are multifactorial.

Benefits

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

Schedule

• 8 hour shift
• Day shift
• Monday to Friday 8:00am - 4:30pm

Work Location: Hybrid. Must work on-site for the first 90 days.

Qualifications

Education: 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.

EEO/AA-M/F/disabled/protected veteran