Medical Coding Specialist

Altea Healthcare; Rockford (IL); Remote; USD 65,000 - 75,000; Full time

Job summary

Altea Healthcare is seeking a Medical Coding and Education Specialist to enhance coding accuracy and compliance across post-acute care facilities. The role emphasizes auditing records, developing training materials, and partnering with EMR teams to optimize documentation and reduce denials.

The ideal candidate has 5+ years in medical coding with CCS or CPC certification, deep knowledge of ICD-10-CM, CPT, and HCPCS, and strong collaboration abilities to educate providers and staff.

Qualifications

• Requires 5+ years in medical coding
• CCS or CPC certification required
• Post-acute care experience in facilities such as SNFs preferred
• Proficient in ICD-10-CM, CPT, HCPCS coding guidelines
• Strong communication and team collaboration skills

Responsibilities

• Conduct coding audits to ensure compliance with guidelines and policies
• Develop and deliver educational materials and training modules for post-acute care coding
• Collaborate with providers and operations to clarify documentation and coding issues
• Work with EMR/IT teams to optimize documentation workflows and reduce denials
• Stay updated on healthcare regulations and coding guideline changes
• Review records to assign ICD-10, CPT, HCPCS codes accurately
• Provide ongoing training for new and existing staff on documentation and coding best practices

Skills

Medical coding

Audits

Education & training

EMR optimization

Documentation accuracy

Education

Medical Coding Certification (CCS or CPC)

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

We are seeking an accomplished Medical Coding and Education Specialist to join our healthcare team, focusing on enhancing coding accuracy and compliance within our post-acute care facilities. This role involves reviewing medical records, assessing for accurate provider cpt and ICD-10 codes, and developing educational materials. Additionally, the specialist will collaborate closely with our technology and revenue cycle teams to optimize EMR processes, streamline documentation, and reduce coding denials.

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.