Coding Specialist II

Bryan Health; Northern (KY); Hybrid; USD 52,000 - 78,000; Full time

Job summary

Merrick Medical Center is seeking a skilled medical coder to assign and sequence ICD-10-CM, CPT, and HCPCS codes across outpatient, clinic, ED, and professional services encounters. The role emphasizes documentation accuracy and regulatory compliance.

The ideal candidate has a year of coding experience, familiarity with payer rules, and the ability to collaborate with providers to ensure compliant, timely reimbursements.

Qualifications

• High school diploma or equivalent required.
• Completion of formal coursework in ICD-10-CM, CPT and medical coding principles from an accredited or approved program required.
• One year of facility or professional medical coding experience, including outpatient and clinic services.
• Proficiency with ICD-10-CM, CPT, and HCPCS; working knowledge of anatomy, physiology and medical terminology.

Responsibilities

• Assigns and sequences ICD-10-CM, CPT, and HCPCS codes for accurate billing and reimbursement.
• Reviews and analyzes clinical documentation to assign codes in accordance with guidelines and payer requirements.
• Queries providers to clarify documentation and promote accurate coding practices.

Skills

ICD-10-CM

CPT coding

HCPCS codes

Medical terminology

Audit awareness

Education

High school diploma

ICD-10-CM/CPT coursework

Tools

EHR systems

Billing software

Job description

Summary

Position posting is for Merrick Medical Center staff only

GENERAL SUMMARY

Reviews and analyzes clinical documentation to independently assign accurate diagnosis and procedure codes that support compliant billing and optimal reimbursement. Applies comprehensive knowledge of coding standards across outpatient, clinic, emergency department, surgery, observation, and Professional Fee coding for Inpatient accounts. Ensures coding integrity through regulatory compliance, audit participation, provider collaboration, and adherence to quality and productivity standards.

PRINCIPAL JOB FUNCTIONS

1. Commits to the mission, vision, beliefs and consistently demonstrates our core values.
2. Reviews and analyzes clinical documentation to accurately assign diagnosis and procedure codes in accordance with coding guidelines, payer requirements, and regulatory standards.
3. Assigns and sequences ICD-10-CM, CPT, and HCPCS codes and enters coded information to support accurate billing and timely reimbursement.
4. Applies coding expertise, medical necessity requirements, reimbursement methodologies, and compliance standards to complex outpatient, clinic, emergency department, surgery, observation, and professional services encounters.
5. Queries providers to obtain clarification of incomplete, conflicting, or unclear documentation and promotes accurate clinical documentation practices.
6. Investigates and resolves coding edits, claim denials, and reimbursement issues to support compliant claim processing and revenue cycle performance.
7. Participates in coding audits, peer reviews, quality assurance initiatives, and compliance activities to ensure coding accuracy and consistency.
8. Provides coding and documentation guidance to providers, staff, and operational teams and serves as a resource on coding, reimbursement, and regulatory requirements.
9. Identifies coding, documentation, denial, and reimbursement trends and contributes to process improvement efforts that enhance quality, compliance, and financial outcomes.
10. Maintains professional coding competency through continuing education, ongoing development, and adherence to ethical and regulatory standards.
11. Maintains professional growth and development through seminars, workshops, and professional affiliations to keep abreast of latest trends in field of expertise.
12. Participates in meetings, committees and department projects as assigned.
13. Performs other related projects and duties as assigned.

Essential Job functions are marked with an asterisk “*”.

EDUCATION AND EXPERIENCE

High school diploma or equivalent required. Completion of formal coursework in ICD-10-CM, CPT and medical coding principles from an accredited or approved program required.

One (1) year of facility or professional medical coding experience, including outpatient and clinic services.

Demonstrated proficiency with ICD-10-CM, CPT, and HCPCS coding; working knowledge of anatomy, physiology, medical terminology, medical necessity rules, and electronic health record and billing systems.

OTHER CREDENTIALS / CERTIFICATIONS

One (1) of the following required:

• Certified Professional Coder (CPC)

• Certified Professional Coder, Apprentice (CPC – A)

• Certified Coding Specialist (CCS)

• Certified Coding Specialist – Physician‑Based (CCS‑P)

• Certified Coding Associate (CCA)

• Certified Medical Coder (CMC) or CPT‑P (physician network–specific)

• Registered Health Information Technician (RHIT)

• Registered Health Information Administrator (RHIA)

Candidates with five (5) or more years of directly related medical coding experience in lieu of a required credential may be considered.