Medical Coding Specialist (remote)

Southwoods Health; Boardman Township (OH); On-site; USD 52,000 - 76,000; Full time

Job summary

Southwoods Health is seeking a meticulous Medical Coding Specialist to assign CPT/HCPCS and ICD-10-CM codes for diverse patient encounters. This role supports chart abstraction, payer-specific rules, and compliance within a healthcare network.

Qualified candidates hold a current coding certification (CPC, CCS, etc.) and bring Excel proficiency. Remote or in-office options are available, with initial training in commutable distance from Boardman, OH.

Qualifications

• Current medical coding certification (CCS, CCA, CPC, RHIT, COC, ACA, or CIC)
• Strong knowledge of CPT/HCPCS and ICD-10-CM coding
• Excellent communication and Excel skills

Responsibilities

• Chart Abstraction: review and abstract E/M levels from documentation
• CPT Coding: assign CPT codes for surgeries, anesthesia, radiology, etc.
• Physician Queries: coordinate queries in Meditech or with hospital reps
• Guidelines & Specificity: apply CMS guidelines and bundling concepts to assign codes
• Payer Rules & Modifiers: attach modifiers per payer guidelines (Medicaid/Medicare)
• Quality & Performance: maintain 95% coding accuracy and productivity
• Compliance Framework: ensure compliance with regulatory agencies
• Collaborative Support: research coding inquiries and assist supervisors

Skills

CPC Certification

CCS Certification

HCPCS ICD-10

Excel

Education

Medical coding certification

Tools

Meditech

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