Medical Coding Specialist - Front-End Claims & Denials

Firstsource; United States; On-site; USD 70,000 - 90,000; Full time

Job summary

Firstsource is seeking a Certified Coding Specialist to review medical documentation and assign accurate ICD-10-CM/PCS, CPT, and HCPCS codes for inpatient and outpatient facility services. The role supports denials and front-end claim edits, collaborating with CDI, billing, and revenue cycle teams to maximize coding accuracy and reimbursement.

Qualified candidates hold active CPC, COC, CCS, or CIC certification and have experience with encoder systems (3M, TruCode) and EHRs (Epic, Meditech,

Qualifications

• 2+ years of inpatient and/or outpatient facility coding experience preferred.
• Strong knowledge of ICD-10-CM, ICD-10-PCS, CPT, HCPCS Level II, modifiers, DRGs/APCs.
• Knowledge of NCCI edits, LCD/NCDs, CMS regulations, and Official Coding Guidelines.
• Excellent communication and Microsoft Office skills.
• Ability to prioritize work, meet deadlines, and work independently.

Responsibilities

• Review inpatient, outpatient, ED, observation, surgery, and ancillary records.
• Assign accurate ICD-10-CM, ICD-10-PCS, CPT, HCPCS, and modifier codes.
• Review coding edits and work queues prior to claim submission.
• Validate documentation supports code assignment and query providers when documentation is incomplete.
• Maintain productivity and quality standards; participate in coding audits and education.
• Review coding-related payer denials and perform root cause analysis; propose appeals.

Skills

Attention to detail

Analytical thinking

Communication skills

Microsoft Office

Tools

3M Encoder

TruCode

Epic

Meditech

Cerner

Job description

Firstsource is seeking a Certified Coding Specialist to review medical documentation and assign accurate ICD-10-CM/PCS, CPT, and HCPCS codes for inpatient and outpatient facility services. The role supports denials and front-end claim edits, collaborating with CDI, billing, and revenue cycle teams to maximize coding accuracy and reimbursement.

Qualified candidates hold active CPC, COC, CCS, or CIC certification and have experience with encoder systems (3M, TruCode) and EHRs (Epic, Meditech,