Medical Coding Specialist

Ensemble Health Partners; Kentucky; Hybrid; USD 28,171 - 34,026; Full time

Benefits offered by this job

Bonus incentives

Paid certifications

Tuition reimbursement

Comprehensive benefits

Job summary

Ensemble Health Partners is seeking a Medical Coding Specialist for a remote position with periodic onsite travel to client locations. You will review medical records and assign ICD-10-CM/PCS, CPT/HCPCS codes using 3M encoder, CAC, and EPIC, ensuring accurate coding and appropriate charges.

You will stay current with CMS and payer requirements, maintain productivity and quality standards, participate in training, and pursue certifications.

Qualifications

• 1 year of medical coding experience.
• Proficiency with 3M encoder and CAC.
• Experience with EPIC and other coding software.
• Knowledge of ICD-10-CM, ICD-10-PCS, CPTIV, and HCPCS coding systems.
• Strong organizational, communication, time-management, and troubleshooting skills.
• Ability to multitask, prioritize, and meet deadlines.
• Commitment to continuous learning and openness to innovation, including AI.
• High School Diploma or GED.
• Valid coding certification (AAPC or AHIMA); CPC-A, CPC, CCA, or CCS preferred.

Responsibilities

• Review medical record documentation and assign appropriate ICD-10-CM, ICD-10-PCS, CPTIV, and HCPCS codes using the 3M software.
• Apply E/M levels, injections, infusions, and other necessary charges for Observation cases using LYNX or other third‑party systems.
• Conduct “medical necessity” checks for Medicare and other payers following CMS guidelines.
• Monitor and resolve accounts that are Discharged Not Final Billed, failed claims, stop bills, and epremis to ensure timely, compliant processing.
• Maintain productivity, key performance indicators, and quality standards for 3M 360CAC and CRS & Direct Code.
• Stay current on CMS, AHA, AHIMA, CMS directives, and national and local coverage determinations related to modifiers and clean claim submission.
• Report coding software inaccuracies and potential unethical or fraudulent activity to HIM Management or Supervisor.
• Participate in required system, hospital, departmental meetings, educational sessions, and annual learning programs.

Skills

Medical coding

Attention to detail

Time management

Troubleshooting

Education

High School Diploma or GED

Coding certification (AAPC or AHIMA) preferred

Tools

3M encoder

CAC

EPIC

Job description

Job Summary

The Medical Coding Specialist will review medical record documentation and accurately assign diagnostic, procedural, and clinical coding using ICD‑10‑CM, ICD‑10‑PCS, CPTIV, and HCPCS codes for a variety of outpatient services.

This remote position requires periodic onsite travel to client locations.

Responsibilities

• Review medical record documentation and assign appropriate ICD‑10‑CM, ICD‑10‑PCS, CPTIV, and HCPCS codes using the 3M software.
• Apply E/M levels, injections, infusions, and other necessary charges for Observation cases using LYNX or other third‑party systems.
• Conduct “medical necessity” checks for Medicare and other payers following CMS guidelines.
• Monitor and resolve accounts that are Discharged Not Final Billed, failed claims, stop bills, and epremis to ensure timely, compliant processing.
• Maintain productivity, key performance indicators, and quality standards for 3M 360CAC and CRS & Direct Code.
• Stay current on CMS, AHA, AHIMA, CMS directives, and national and local coverage determinations related to modifiers and clean claim submission.
• Report coding software inaccuracies and potential unethical or fraudulent activity to HIM Management or Supervisor.
• Participate in required system, hospital, departmental meetings, educational sessions, and annual learning programs.

Qualifications

• Minimum of 1 year of medical coding experience.
• Proficiency with coding software tools, including 3M encoder and CAC.
• Experience with EPIC and other coding software.
• Knowledge of ICD‑10‑CM, ICD‑10‑PCS, CPTIV, and HCPCS coding systems.
• Strong organizational, communication, time‑management, and troubleshooting skills.
• Ability to multitask, prioritize, and meet short‑ and long‑term deadlines.
• Commitment to continuous learning and openness to innovation, including AI.
• High School Diploma or GED.
• Valid coding certification (AAPC or AHIMA); CPC‑A, CPC, CCA, or CCS preferred.

Benefits & Compensation

• Pay range: $20.45 – $24.70 per hour based on experience
• Bonus incentives
• Paid certifications
• Tuition reimbursement
• Comprehensive benefits: health, time off, retirement, and well‑being programs

Location & Travel

Remote work with required travel to client, temporary, or corporate office locations as business needs dictate.

EEO Statement

Ensemble is an equal employment opportunity employer. We do not discriminate on the basis of race, color, sex, sexual orientation, gender identity, religion, national origin, age, disability, military or veteran status, genetic information or any other basis protected by applicable laws. Ensemble provides reasonable accommodations to qualified individuals with disabilities in accordance with the Americans with Disabilities Act and applicable state and local law. If you require accommodation in the application process, please contact [e-mail].