Texas Licensed Coding Specialist

Konsus, Inc. (Superside); United States; Remote; USD 50,000 - 85,000; Full time

Job summary

A leading company is seeking a Coding Specialist III for an Outpatient Hospital Based Clinic. This role involves coding outpatient accounts using ICD-10 CM and CPT, ensuring compliance with guidelines, and reviewing accounts in denial work queues. The ideal candidate should have significant coding experience and relevant certifications.

Qualifications

• 3 years of acute hospital-based coding experience or equivalent combination of education and experience.
• Relevant certifications such as RHIA, RHIT, CCS, COC, CPC, or CIRCC are required.

Responsibilities

• Code retrospective outpatient accounts using ICD-10 CM and CPT.
• Identify appropriate diagnoses and procedures to support medical necessity and coding edits.
• Review accounts in denials work queues and make recommendations.

Skills

Expert knowledge of coding guidelines and practices

Experience in a remote environment

Education

High School Diploma or equivalent

Job description

A company is looking for a Coding Specialist III - Outpatient Hospital Based Clinic.

Key Responsibilities

• Code retrospective outpatient accounts using ICD-10 CM and CPT in compliance with coding guidelines
• Identify appropriate diagnoses and procedures to support medical necessity and coding edits
• Review accounts in denials work queues and make recommendations to the Coding Manager

Required Qualifications

• High School Diploma or equivalent
• 3 years of acute hospital-based coding experience or equivalent combination of education and experience
• Relevant certifications such as RHIA, RHIT, CCS, COC, CPC, or CIRCC
• Expert knowledge of coding guidelines and practices
• Experience in a remote environment preferred for PRN Coders