Remote Certified Coding Specialist - Denials & Appeals

Firstsource; Northern (KY); Hybrid; USD 65,000 - 90,000; Full time

Benefits offered by this job

Remote work

Equal opportunity employer

Job summary

Firstsource is seeking a Certified Coding Specialist to review medical documentation and assign ICD-10-CM/PCS, CPT, and HCPCS codes for inpatient and outpatient services. You will support denials, front-end edits, and ensure compliance with payer policies and regulations.

The role requires active CPC/COC/CCS/CIC certification, strong coding knowledge, and collaboration with CDI, billing, and revenue cycle teams to maximize reimbursement.

Qualifications

• Active CPC, COC, CCS, or CIC certification is required.
• 2+ years of inpatient and/or outpatient facility coding preferred.
• Experience reviewing coding-related denials and appeals.
• Knowledge of Medicare, Medicaid, and commercial payer guidelines.
• Experience using coding encoders and EMR systems (3M, TruCode, Epic, Meditech, Cerner).
• Knowledge of DRG, APC, NCCI edits, and medical necessity guidelines.

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.
• Query providers when documentation is incomplete or conflicting.
• Maintain productivity and quality standards.
• Participate in coding audits and education.

Skills

ICD-10-CM/PCS CPT HCPCS

Education

Active CPC, COC, CCS, or CIC certification

Tools

EMR systems (3M TruCode Epic Meditech Cerner)

Job description

Firstsource is seeking a Certified Coding Specialist to review medical documentation and assign ICD-10-CM/PCS, CPT, and HCPCS codes for inpatient and outpatient services. You will support denials, front-end edits, and ensure compliance with payer policies and regulations.

The role requires active CPC/COC/CCS/CIC certification, strong coding knowledge, and collaboration with CDI, billing, and revenue cycle teams to maximize reimbursement.