Medical Coding Specialist

Jobrapido; Roanoke (VA); Remote; USD 65,000 - 75,000; Full time

Job summary

Jobrapido seeks an experienced Medical Coding/Education Specialist to perform coding audits, develop training, and support post-acute care documentation and reimbursement processes.

The role requires five years in medical coding, CCS or CPC certification, and strong knowledge of ICD-10-CM, CPT, and HCPCS. You will collaborate with providers, operations, and IT to optimize EMR workflows and reduce denials.

Qualifications

• Minimum of five years’ experience in medical coding.
• Certification required: CCS or CPC.
• Post-acute care experience (e.g., skilled nursing facilities) preferred.
• Proficient in ICD-10-CM, CPT, HCPCS coding systems and guidelines.
• Strong analytical, communication, and collaboration skills.
• Familiarity with EMR/EHR systems and coding software.

Responsibilities

• Conduct regular coding audits and reviews for compliance and reimbursement.
• Develop and deliver educational materials and training on coding guidelines and documentation.
• Collaborate with providers and operations to clarify documentation and coding issues.
• Work with the technology team to optimize EMR processes and reduce denials.
• Stay updated on healthcare regulations and coding changes relevant to post-acute care.
• Review medical records to assign accurate codes using ICD-10-CM, CPT, HCPCS.
• Identify errors through audits and recommend improvements.
• Create training for new providers and ongoing refresher sessions.

Skills

Analytical skills

Attention to detail

Communication

Education

Medical Coding Certification

Certified Coding Specialist (CCS)

Certified Professional Coder (CPC)

Tools

EMR systems

EHR 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.