Medical Coding Specialist (remote)

Southwoods Health; Boardman Township (OH); Hybrid; USD 50,000 - 70,000; Full time

Job summary

Southwoods Health in Boardman, OH is seeking a meticulous Medical Coding Specialist to ensure accurate CPT/HCPCS and ICD-10-CM coding across patient encounters.

You will review charts, assign codes, and coordinate physician queries within Meditech or other systems. Maintaining CMS guidelines, POS rules, and high accuracy while meeting productivity is required.

Qualifications

• Current medical coding certification (CCS, CCA, CPC, RHIT, COC, ACA, or CIC)
• Responsible for proper assignment of CPT/HCPCS and ICD-10-CM codes for physician documentation
• At least one year in a healthcare setting; 10+ years accepted in lieu of a certificate
• Good communication skills
• Working knowledge of Excel
• Good computer skills
• Strong ethical and moral character references

Responsibilities

• Chart abstraction: review and abstract E/M levels from docs
• CPT coding: assign accurate CPT codes for surgeries, anesthesia, radiology, etc.
• Physician queries: coordinate queries in Meditech or with hospital reps
• Apply CMS guidelines and place-of-service rules for accurate coding
• Append modifiers and follow payer-specific guidelines (Medicaid/Medicare)
• Maintain minimum 95% coding accuracy and meet productivity standards
• Ensure compliance with regulatory requirements and document accordingly
• Collaborate with supervisors and research coding inquiries as needed

Skills

Medical coding

Attention to detail

Communication skills

Microsoft Excel

Education

Medical coding certification (CCS/CCA/CPC/RHIT/COC/ACA/CIC)

Tools

Excel

Job description

Medical Coding Specialist

Southwoods Health | Boardman, OH

Status: Full-Time | Setting: Fully Remote or Fully In-Office

Note: Remote employees must live within a commutable distance from Boardman, OH for initial training.

About The Role

Southwoods Health is seeking a skilled and detail-oriented Medical Coding Specialist. In this role, you will be responsible for the proper assignment of all CPT/HCPCS and ICD-10-CM diagnosis codes to ensure compliant coding across all assigned patient encounters.

Essential Duties

• Chart Abstraction: Review and abstract evaluation and management (E/M) levels from specialty office or hospital documentation.
• CPT Coding: Assign accurate CPT codes for surgeries, anesthesia, pain management, and radiology services as required.
• Physician Queries: Coordinate physician queries within the Meditech system, or contact designated hospital representatives for non-Meditech provider locations.
• Guidelines & Specificity: Apply a strong understanding of bundling concepts, CMS guidelines, and HCPCS codes to ensure accurate assignment based on Place of Service (POS). Assign ICD-10 codes to the highest level of specificity.
• Payer Rules & Modifiers: Accurately append modifiers and adhere to distinct guidelines for specific payer groups, including Medicaid HMO and Medicare HMO networks.
• Quality & Performance: Maintain a minimum 95% coding accuracy rate while consistently meeting established productivity standards.
• Compliance Framework: Ensure all processes at assigned physician practices maintain strict compliance with all regulatory agencies.
• Collaborative Support: Research coding inquiries independently, collaborate with supervisors, and perform other duties as assigned.

Qualifications

• Current medical coding certification (CCS, CCA, CPC, RHIT, COC, ACA, or CIC)
• Responsible for the proper assignment of all CPT/HCPCS and ICD-10-CM diagnosis codes to ensure compliant coding of documentation provided for physician’s offices, specialty offices, hospitalist rounding, in office procedures, other as assigned
• At least one year in a healthcare setting, 10 or more years of coding experience will be accepted in lieu of a certificate
• Good Communication skills
• Working knowledge of Excel
• Good Computer Skills
• Strong ethical and moral character references

Why Southwoods?

At Southwoods, it's not just about the treatment, but how you're treated. Join an expanding, award-winning healthcare network that offers flexible work environments and values your specialized professional expertise. #SWH