Coding Specialist- Holds & Denials CPC

CADUCEUSHEALTH®; United States; Remote; USD 60,000 - 75,000; Full time

Benefits offered by this job

Medical insurance

Vision insurance

401(k)

Tuition assistance

Job summary

A health care organization is seeking a Coding Specialist to ensure accurate coding for patient records. The role requires experience in CPT and ICD-10-CM coding along with AAPC CPC certification. Responsibilities include conducting coding reviews, resolving denials, and maintaining compliance with medical standards. This is a full-time remote position offering competitive benefits and a supportive work environment.

Qualifications

• 5+ years of experience in professional fee coding required.
• Excellent analytical and communication skills needed.
• Strong attention to detail and ability to work independently.

Responsibilities

• Assign ICD-10-CM and CPT codes for professional fee services.
• Review documentation to support accurate coding and billing.
• Resolve coding edits and assist with rebilling when needed.

Skills

CPT coding

ICD-10-CM coding

Analytical skills

Attention to detail

Communication skills

Education

AAPC CPC certification

5+ years of professional fee coding experience

Tools

Microsoft Office

Job description

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Position: Coding Specialist coding Holds and Denials

Overview

We're seeking a seasoned Coding Specialist to conduct high-quality reviews and assign accurate codes to a wide range of patient records. Your work ensures that physician services are properly documented and billed in alignment with medical and legal standards.

What You’ll Do

• Assign ICD-10-CM and CPT codes (with modifiers) for professional fee services.
• Review documentation to support accurate coding and billing.
• Validate medical necessity based on local and national guidelines.
• Resolve coding edits, denials, and assist with rebilling when needed.
• Stay current with coding regulations and compliance standards.
• Meet or exceed productivity and quality benchmarks.
• Identify coding issues and contribute to ongoing improvements.
• Participate in departmental meetings and compliance training.

Preferred Qualifications

• AAPC CPC certification (Required).
• 5+ years of experience in professional fee coding.
• In-depth knowledge of CPT, ICD-10, anatomy/physiology, and Medicare rules.
• Excellent analytical, written, and verbal communication skills.
• Strong attention to detail and ability to work independently.
• High level of discretion with HIPAA and PHI.
• Proficient in Microsoft Office (Word, Excel, Outlook, Teams).
• 100% remote with standard business hours.
• Extended computer usage and sitting required.
• Ability to lift up to 30 pounds occasionally.
• Strong focus on compliance, privacy, and quality standards.

Work environment:

• A standard business environment exists with moderate noise levels.
• Ability to lift and move approximately thirty (30) pounds non-routinely.
• Ability to sit for extended periods.
• Extended periods of computer usage
• Handling – seizing, holding, grasping, and fingering of objects, tools, and controls.
• Vision – close vision
• Hearing- the ability to receive detailed information through oral and telephonic communication.

Seniority level

• Seniority level

  Associate

Employment type

• Employment type

  Full-time

Job function

• Job function

  Health Care Provider

• Industries

  Hospitals and Health Care

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Inferred from the description for this job

Medical insurance

Vision insurance

401(k)

Tuition assistance

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