Professional Coding Specialist II - Edits
$10 - $20/yr
Accountabilities Review and interpret medical record documentation to identify diagnoses and procedures relevant to inpatient stays and outpatient encounters. Assign accurate ICD-10, CPT, and appropriate modifier codes based on documented diagnoses, procedures, and clinical services. Complete coding, charging, and account abstraction accurately and within required daily timelines for assigned specialty areas. Review documentation to ensure records support accurate coding, appropriate reimbursement, compliant billing, and applicable regulatory requirements. Identify missing or incomplete documentation and communicate with physicians, non-physician providers, and other appropriate stakeholders to obtain the information required for accurate coding. Monitor provider documentation and perform coding audits to assess accuracy and identify opportunities for improvement. Provide education and feedback to providers when documentation or coding issues are identified. Research and resolve missing charges, problem accounts, and reimbursement-related issues by analyzing relevant financial and clinical information. Support Revenue Cycle Operations with claim development and account-resolution activities. Maintain and expand coding knowledge through quality reviews, clinical education sessions, coding seminars, internal meetings, reference materials, and updates to coding guidelines and manuals. Ensure coding and billing data is accurate, complete, and sufficient to support clean claims and appropriate reimbursement. Maintain productivity and quality standards while managing assigned workloads and adapting to changing priorities. Collaborate effectively with clinical and administrative teams to support coding compliance and continuous improvement. Requirements High school diploma or equivalent. Current professional HIM or medical coding certification through AHIMA or AAPC . At least 2 years of professional medical coding experience . Experience with physician-office coding is preferred, particularly at least 2 years of relevant experience. Strong knowledge of anatomy, physiology, medical terminology, and medical coding principles. Demonstrated ability to accurately apply ICD-10, CPT, and modifier coding requirements. Strong understanding of documentation requirements, reimbursement principles, compliance standards, and coding guidelines. Excellent attention to detail and ability to maintain accuracy during frequent interruptions and high-volume workloads. Strong independent decision-making and problem-solving skills. Ability to prioritize assignments, organize workloads, and consistently meet quality and productivity expectations. Excellent written and verbal communication skills, including the ability to communicate effectively with clinical and nonclinical stakeholders. Ability to handle high-stress situations professionally and adapt effectively to changes in the workplace. Strong follow-through and ability to organize and complete assigned tasks independently. Ability to work effectively in a fully remote environment and maintain consistent productivity and communication. Comfortable working extensively with computers, electronic medical records, spreadsheets, and other digital tools. Ability to sit for extended periods and perform the computer-based functions required for the role. Ability to lift, push, or pull up to 10–20 pounds when required by the work environment. Benefits Full-time, fully remote position available to candidates anywhere in the United States. 40-hour workweek with a daytime schedule. Opportunity to work across multiple medical specialties, including significant exposure to Hospitalist, Intensivist, and Medical Specialties coding. Opportunity to contribute to coding accuracy, regulatory compliance, appropriate reimbursement, and healthcare revenue-cycle operations. Professional development through coding education, clinical in-services, seminars, quality reviews, and access to updated coding resources. Collaborative interaction with physicians, providers, revenue cycle professionals, and other healthcare stakeholders. Opportunity to develop broad specialty coding expertise in a remote healthcare environment. Support for continuous learning and maintenance of professional coding knowledge. How Jobgether works: We use an AI-powered matching process to ensure your application is reviewed quickly, objectively, and fairly against the role's core requirements. Our system identifies the top-fitting candidates, and this shortlist is then shared directly with the hiring company. The final decision and next steps (interviews, assessments) are managed by their internal team. We appreciate your interest and wish you the best! Why Apply Through Jobgether? Data Privacy Notice: By submitting your application, you acknowledge that Jobgether will process your personal data to evaluate your candidacy and share relevant information with the hiring employer. This processing is based on legitimate interest and pre-contractual measures under applicable data protection laws (including GDPR). You may exercise your rights (access, rectification, erasure, objection) at any time. #LI-CL1