Senior Hospital Coding Specialist (Remote/Hybrid)

Concord Hospital; United States; Hybrid; USD 90,000 - 120,000; Full time

Job summary

Concord Hospital seeks an experienced Coding Resource to support multi-facility coding operations, clinical documentation, and AI-assisted workflows. You will validate AI outputs, respond to inquiries, lead training, and collaborate across departments to ensure compliant, accurate reimbursements.

The role encompasses remote and on-site work, ongoing education, and engagement in audit and denial mitigation activities to drive quality improvements in coding accuracy and regulatory compliance.

Qualifications

• Minimum of 4 years hospital coding experience required.
• Certifications: CCS, CIC, COC, RHIA, or RHIT; CPC credentialed coders with hospital-based experience may be considered.
• Education: High school diploma required; Associate’s or Bachelor’s degree preferred.

Responsibilities

• Serves as SME in coding regulations (ICD-10-CM, ICD-10-PCS, MS-DRG, CPT, NCCI, LCD/NCD, MUE, OCE).
• Validates coding for accuracy, completeness, and compliance using encoder tools and AI-assisted platforms.
• Performs annual competency testing and maintains continuing education for coding updates and CMS/AMA guidance.
• Responds to provider queries; supports audit and denial mitigation workflows.
• Reviews and resolves back-end claim denials/edits with Patient Financial Services and billing staff.

Skills

Analytical mindset

Independent work

Cross-functional collaboration

Remote work readiness

Time management

Education

High school diploma or equivalent

Associate’s or Bachelor’s degree in Health Information Management

Tools

AI-assisted coding platform

Encoders

EHR systems

Microsoft Office (Word, PowerPoint, Excel)

Job description

Concord Hospital seeks an experienced Coding Resource to support multi-facility coding operations, clinical documentation, and AI-assisted workflows. You will validate AI outputs, respond to inquiries, lead training, and collaborate across departments to ensure compliant, accurate reimbursements.

The role encompasses remote and on-site work, ongoing education, and engagement in audit and denial mitigation activities to drive quality improvements in coding accuracy and regulatory compliance.