Coding Specialist - TMG Billing Days

Tanner Medical Foundation Inc

JOB DETAILS
SKILLS
Accounts Receivable, Analysis Skills, Billing, Certified Coding Specialist (CCS), Certified Professional Coder (CPC), Clinical Study Publications, Communication Skills, Corrective Action, Current Procedural Terminology (CPT), Detail Oriented, Documentation, Epic Systems, HIPAA (Health Insurance Portability and Accountability Act), Health Information Management, Healthcare Common Procedure Coding System (HCPCS), ICD-10, Insurance, Internal Audit, Interpersonal Skills, Maintain Compliance, Medical Coding, Medical Record System, Microsoft Excel, Microsoft Office, Microsoft Outlook, Microsoft Word, Monitor Regulations, Problem Solving Skills, Process Development, Process Improvement, Process Management, Professional Services, Quality Assurance, Regulatory Compliance, Reimbursement, Root Cause Analysis, Time Management, Trend Analysis
POSTED
30+ days ago

The Coding Specialist is responsible for accurately assigning ICD-10-CM CPT and HCPCS codes for professional services across a multi-specialty medical group. This position ensures compliant complete and timely coding of all encounters to support proper claim submission revenue integrity and clinical documentation accuracy. The specialist will collaborate closely with providers billing and revenue cycle teams to resolve coding-related denials and identify process improvement opportunities.Key ResponsibilitiesAssign appropriate ICD-10-CM CPT and HCPCS codes in accordance with official coding guidelines payer policies and organizational standards.Review provider documentation for accuracy and completeness querying providers when clarification is needed to ensure correct code assignment and compliance with regulatory standards.Monitor and analyze claim rejections denials and trends to identify root causes and recommend corrective actions.Provide feedback and education to providers and staff regarding documentation improvement and coding updates.Participate in internal audits and quality assurance reviews to maintain a high level of coding accuracy.Collaborate with billing and AR teams to resolve coding-related issues impacting reimbursement.Initiate follow-up communication with clients payers and internal departments to ensure timely resolution of coding and billing discrepancies.EducationHigh School Diploma or equivalent required.Completion of an accredited medical coding or health information management program preferred.ExperienceMinimum of one 1 year of professional coding experience in a multi-specialty or physician practice setting required.Experience with EPIC EHR.Licenses & CertificationsRequired Certified Professional Coder CPC CIC COCCCS or CCS-P or equivalent certification.Specialty certification e.g. AAPC specialty credentials preferred.Knowledge Skills & AbilitiesThorough knowledge of ICD-10-CM CPT and HCPCS coding systems and official guidelines.Familiarity with insurance payer rules billing processes and denial management.Strong analytical and problem-solving skills with the ability to interpret data and form actionable recommendations.Proficient in Microsoft Office applications Word Excel Outlook.Excellent attention to detail organizational and time management skills.Effective communication and interpersonal abilities capable of working independently and collaboratively within a team environment.Professional demeanor and commitment to maintaining confidentiality and compliance with HIPAA regulations.

About the Company

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Tanner Medical Foundation Inc