Coding Specialist

Job Description

Job Description

Description:

Appalachian Mountain Health is seeking a skilled and detail-oriented, experienced Coding Specialist to join our healthcare team. The Coding Specialist will be responsible for translating medical diagnoses, procedures, and services into standardized codes for billing, reimbursement, and insurance purposes. This individual will ensure compliance with health regulations, provide accurate coding for patient records, and contribute to the seamless operation of the organization’s health services. Hybrid position with possibility of fully remote after completion of probationary period (3 months) with leadership approval. Would need to still come into office for clinician training and periodic meetings.

Key Responsibilities:

• Review medical records, including physician notes, lab results, and other documentation to assign accurate ICD-10, CPT, and HCPCS codes for diagnoses, procedures, and services.
• Ensure compliance with healthcare regulations, such as HIPAA, CMS, and other state and federal guidelines, in the coding process.
• Work closely with healthcare providers, Clinic Supervisors, and Revenue Cycle Manager to clarify and improve documentation for accurate coding.
• Prepare and maintain detailed coding documentation for insurance and billing purposes.
• Resolve coding discrepancies or issues by collaborating with healthcare providers, insurers, and other departments as needed.
• Ensure proper coding of inpatient procedures, emergency services, and laboratory tests.
• Assist in identifying trends or errors in coding practices and work towards improving coding accuracy and compliance.
• Stay up-to-date on coding guidelines, industry standards, and health insurance policies, including updates to codes and procedures.
• Provide training and support to other team members in coding processes when needed.

Benefits:

· 403(b) Retirement plan

· 403(b) matching

· Dental insurance

· Employee assistance program

· Flexible spending account

· Health insurance

· Life insurance

· Paid time off

· 11 Paid Holidays

· Employee Celebration

· Vision insurance

Qualifications:

• High school diploma or equivalent required; associate’s or bachelor’s degree in health information management, medical coding, or related field preferred.
• Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) certification preferred.
• Minimum of 3 years of experience in medical coding, ideally in a healthcare setting.
• Strong knowledge of ICD-10, CPT, and HCPCS coding systems.
• Familiarity with electronic health record (EHR) systems and medical billing software, ECW preferred.
• Attention to detail and a strong understanding of healthcare regulations and compliance requirements.
• Excellent communication skills, both written and verbal, to interact effectively with healthcare providers, insurance companies, and internal teams.
• Ability to work independently and as part of a team, managing multiple tasks simultaneously.

Preferred Skills:

• Experience with coding for Federally Qualified Health Centers and specific medical specialties
• Knowledge of medical terminology and anatomy.
• Experience working in a rural or community healthcare setting.

Work Environment:

• Office-based position in a healthcare facility.
• Opportunities for 2 - 3 days remote work may be considered based on performance and needs.

Benefits :

• Competitive salary based on experience.
• Health, dental, and vision insurance.
• Retirement savings plan.
• Paid time off (PTO) and holidays.
• Continuing education opportunities and professional development support.