Medical Coding Specialist

Jobrapido; Colorado Springs (CO); Remote; USD 65,000 - 75,000; Full time

Job summary

Jobrapido is seeking a Medical Coding/Education Specialist for a remote role with a preference for candidates in Texas. The position focuses on coding audits, education material development, and collaboration with providers to improve documentation and reimbursement processes.

The ideal candidate has at least five years of post-acute care coding experience, active CCS or CPC certification, and strong proficiency in ICD-10-CM, CPT, and HCPCS within an EMR environment.

Qualifications

• Minimum of five years’ experience in medical coding
• Certified Coding Specialist (CCS) or Certified Professional Coder (CPC) certification required
• Experience in post-acute care settings (e.g., skilled nursing facilities)
• Proficiency in ICD-10-CM, CPT, and HCPCS coding systems and medical terminology

Responsibilities

• Conduct regular coding audits to ensure compliance with guidelines and reimbursement policies
• Develop and deliver educational materials on coding guidelines and documentation requirements
• Collaborate with providers to clarify documentation and coding issues
• Optimize EMR processes to reduce denials and improve reimbursement
• Stay updated on regulatory changes affecting post-acute care coding
• Review medical records to assign precise codes using ICD-10-CM, CPT, HCPCS
• Deliver training to medical providers and onboarding staff

Skills

Medical coding expertise

ICD-10-CM proficiency

CPT & HCPCS knowledge

Educational material development

Communication & training

Education

Medical Coding Certification

CCS or CPC certification

Tools

EHR systems

coding software

Job description

Title: Medical Coding/ Education Specialist

Location: Remote, preferably in Texas

Compensation: $65,000 - $75,000 per year

*Must have Post Acute Care Experience*

Responsibilities

• Conduct regular coding audits and reviews to ensure compliance with coding guidelines, regulatory requirements, and reimbursement policies.
• Develop and deliver educational materials, training modules, and resources on coding guidelines, regulatory updates, and documentation requirements specific to post-acute care settings.
• Collaborate with providers and operations personnel to clarify documentation and coding issues, providing ongoing feedback and support for improvement.
• Work closely with the technology team to optimize EMR processes, enhance documentation workflows, and implement improvements aimed at reducing coding denials and improving reimbursement rates where necessary.
• Stay informed about changes in healthcare regulations, coding guidelines, and reimbursement practices relevant to post-acute care settings.
• Review medical records from providers in post-acute care facilities to assign precise medical codes using ICD-10, CPT, and HCPCS coding systems.
• Ability to conduct coding audits and reviews to identify errors and areas for improvement.
• Proven ability to develop educational materials and deliver effective training to medical providers.
• Educate providers on best practice for accurate, complaint, documentation to support proper coding and reimbursement.
• Conduct training for new providers when necessary, and ongoing refresher training for existing staff when needed.
• Ensure proper and effective training is taking place for documentation and coding for new providers, working in collaboration with the onboarding team.

Requirements

• Must have a minimum of five years’ experience and hold a Medical Coding Certification
• Certified Coding Specialist (CCS) certification or Certified Professional Coder (CPC) certification required.
• Minimum of 3 years of experience in Provider medical group coding in post-acute care settings such as skilled nursing facilities.
• Proficiency in ICD-10-CM, CPT, and HCPCS coding systems and guidelines, with a strong understanding of medical terminology, anatomy, physiology, and disease processes.
• Strong analytical skills and attention to detail, with the ability to work independently and as part of a team in a fast-paced environment.
• Excellent communication and interpersonal skills, with the ability to collaborate effectively with diverse healthcare professionals.
• Familiarity with electronic health record (EHR) systems and coding software used in post-acute care settings.