Coding Specialist (Medical Coder)

## Overview This role is well suited for someone with a medical billing/coding background who is comfortable reviewing documentation, coding accurately, submitting high volumes of professional claims, and resolving billing issues while working both independently and collaboratively. ## Responsibilities **Primary Responsibilities** * Review, manage and submit **75-100 CMS-1500 professional claims** each day * Assign accurate procedure and diagnosis codes * Verify claim accuracy before submission * Review medical records to determine appropriate ICD-10 and CPT codes * Coordinate with other departments to obtain missing documentation * Resolve claim rejections and make claim corrections * Collaborate with revenue cycle teams to understand payer-specific billing guidelines and state insurance requirements ## Qualifications **Key Qualifications** * Certificate or diploma from an accredited medical billing/coding program * Professional coding certification (required) * Knowledge of **ICD-10** and **CPT** coding * Strong attention to detail and accuracy * Ability to multitask and prioritize work * Strong analytical and comprehension skills * Excellent verbal and written communication * Intermediate proficiency in Microsoft Excel * Work independently while maintaining timely communication with management * Positive attitude and ability to work collaboratively * Ability to consistently meet deadlines **Preferred Experience** * Medical billing and coding experience with CMS-1500 professional claims * Knowledge of insurance policies and reimbursement processes * Experience with out-of-network medical billing **Skills That Would Make a Strong Candidate** * Medical billing and coding * ICD-10-CM and CPT coding * Revenue cycle management * Insurance verification and payer policies * Claim denial and rejection resolution * Medical records review * Microsoft Excel * Time management * Attention to detail * Communication and teamwork #IND456