Remote Coding Compliance Specialist - Hospital & Emergency

Paylocity; Atlanta, Northern (GA, KY); Hybrid; USD 55,000 - 75,000; Full time

Job summary

Core Clinical Partners is seeking a Coding Compliance Specialist to extract clinical information from EMR systems, analyze documentation, and ensure proper CPT billing assignments per CMS guidelines. The role emphasizes patient-centric care and regulatory compliance.

You will assign ICD-10, CPT, and HCPCS codes, validate accuracy, and stay current with coding standards. Remote work with travel for meetings is required.

Qualifications

• Bachelor’s degree or equivalent is required.
• Preferred: RHIA, CDI, CPC, CCS, CCS-P credentials.
• 1–2 years’ experience in hospital or physician practice environment.
• Experience with Evaluation & Management coding; EM/Hospital medicine background preferred.
• EHR/EMR experience required.
• Chart Auditing/Optimization experience preferred.

Responsibilities

• Review and analyze medical records for inconsistencies and remediation.
• Assign ICD-10, CPT, and HCPCS codes based on documentation.
• Validate code accuracy and adherence to guidelines and regulations.
• Maintain up-to-date knowledge of coding standards and payer policies.
• Perform audits of coded records to ensure accuracy and compliance.
• Provide recommendations for coding improvements and best practices.
• Review new business records for documentation opportunities and templating education.
• Utilize coding software and EHR systems efficiently.

Skills

Medical coding

ICD-10 coding

CPT coding

HCPCS coding

EHR/EMR

Documentation analysis

Regulatory know-how

Audit & QA

Communication

Team collaboration

Education

Bachelor’s degree or equivalent

RHIA

CDI

CPC

CCS

CCS-P

Tools

EHR/EMR

Job description

Core Clinical Partners is seeking a Coding Compliance Specialist to extract clinical information from EMR systems, analyze documentation, and ensure proper CPT billing assignments per CMS guidelines. The role emphasizes patient-centric care and regulatory compliance.

You will assign ICD-10, CPT, and HCPCS codes, validate accuracy, and stay current with coding standards. Remote work with travel for meetings is required.