This position is listed on behalf of a partner company, who manages all applications and next steps. Our partner is looking for a ED Coding Specialist 3 based in the United States.
This is a highly specialized, senior-level medical coding role within a complex healthcare environment, focused on ensuring accurate assignment of diagnostic and procedural codes for outpatient surgical and observation services. The position plays a critical part in maintaining coding integrity, regulatory compliance, and revenue cycle performance. You will work remotely as part of a collaborative enterprise coding team, handling advanced coding cases requiring strong expertise in CPT, ICD-10-CM, ICD-10-PCS, and HCPCS systems. The role requires precision, independence, and deep familiarity with healthcare billing regulations. Beyond coding, you will also serve as a subject matter expert supporting colleagues and leadership. This position offers meaningful impact in improving documentation quality, compliance standards, and overall operational efficiency.
This position is listed on behalf of a partner company, who manages all applications and next steps. Our partner is looking for a ED Coding Specialist 3 based in the United States.
This is a highly specialized, senior-level medical coding role within a complex healthcare environment, focused on ensuring accurate assignment of diagnostic and procedural codes for outpatient surgical and observation services. The position plays a critical part in maintaining coding integrity, regulatory compliance, and revenue cycle performance. You will work remotely as part of a collaborative enterprise coding team, handling advanced coding cases requiring strong expertise in CPT, ICD-10-CM, ICD-10-PCS, and HCPCS systems. The role requires precision, independence, and deep familiarity with healthcare billing regulations. Beyond coding, you will also serve as a subject matter expert supporting colleagues and leadership. This position offers meaningful impact in improving documentation quality, compliance standards, and overall operational efficiency.
Accountabilities:
- Perform advanced medical coding for outpatient surgical, observation, and other complex patient encounters, ensuring high accuracy (95% or above) in CPT, ICD-10-CM, ICD-10-PCS, HCPCS, and related classification systems.
- Abstract and review clinical documentation to ensure completeness, accuracy, and compliance with federal and state regulations, including CMS and Medicaid guidelines.
- Manage coding workflows within electronic medical record systems, ensuring proper charge capture, billing integrity, and timely processing of assigned work queues.
- Identify and resolve coding discrepancies, denials, and billing issues in coordination with revenue cycle and billing teams.
- Monitor regulatory updates and coding guideline changes, ensuring proper implementation across coding practices and documentation standards.
- Provide mentorship, guidance, and support to coding staff while contributing to the development of internal procedures and best practices.
- Participate in team discussions, training sessions, and continuous improvement initiatives to enhance coding quality and operational efficiency.
- High school diploma or GED required; additional education in health information management or related fields preferred.
- Minimum of 4 years of professional or hospital-based coding experience involving ICD-10-CM, ICD-10-PCS, and/or CPT coding.
- Active certification through AAPC or AHIMA (e.g., CPC, CCS, RHIA, or RHIT) with active professional membership where applicable.
- Strong knowledge of coding guidelines, medical terminology, anatomy and physiology, and healthcare reimbursement systems.
- Experience with electronic medical record systems and coding tools (e.g., EPIC or encoder platforms) preferred.
- Strong analytical skills with high attention to detail and ability to maintain accuracy under deadlines.
- Excellent communication skills with the ability to collaborate effectively across clinical, administrative, and billing teams.
- Ability to work independently in a remote environment while managing multiple priorities.
- 100% employer-covered healthcare for full-time employees and strong dependent coverage options
- Company-provided life insurance at no cost
- Retirement and pension plan options with competitive contributions
- Generous paid time off, including vacation, sick leave, and paid holidays
- Flexible remote work arrangement with broad scheduling flexibility
- Transportation and commuter discounts where applicable
- Tuition reimbursement and professional development support
- Employee assistance programs and childcare support discounts
- Access to additional employee discount programs across services and retailers