Coding Specialist- Holds & Denials CPC

Get AI-powered advice on this job and more exclusive features. Direct message the job poster from CADUCEUSHEALTH Position: Coding Specialist coding Holds and Denials Overview We're seeking a seasoned Coding Specialist to conduct high-quality reviews and assign accurate codes to a wide range of patient records. Your work ensures that physician services are properly documented and billed in alignment with medical and legal standards.

What You'll Do Assign ICD-10-CM and CPT codes (with modifiers) for professional fee services. Review documentation to support accurate coding and billing. Validate medical necessity based on local and national guidelines.

Resolve coding edits, denials, and assist with rebilling when needed. Stay current with coding regulations and compliance standards. Meet or exceed productivity and quality benchmarks .

Identify coding issues and contribute to ongoing improvements. Participate in departmental meetings and compliance training. Preferred Qualifications AAPC CPC certification (Required).

5+ years of experience in professional fee coding. In-depth knowledge of CPT, ICD-10, anatomy/physiology , and Medicare rules. Excellent analytical, written, and verbal communication skills.

Strong attention to detail and ability to work independently. High level of discretion with HIPAA and PHI . Proficient in Microsoft Office (Word, Excel, Outlook, Teams).

100% remote with standard business hours. Extended computer usage and sitting required. Ability to lift up to 30 pounds occasionally.

Strong focus on compliance, privacy, and quality standards. Work environment: A standard business environment exists with moderate noise levels. Ability to lift and move approximately thirty (30) pounds non-routinely.

Ability to sit for extended periods. Extended periods of computer usage Handling – seizing, holding, grasping, and fingering of objects, tools, and controls. Vision – close vision Hearing- the ability to receive detailed information through oral and telephonic communication.

Seniority level Seniority level Associate Employment type Employment type Full-time Job function Job function Health Care Provider Industries Hospitals and Health Care Referrals increase your chances of interviewing at CADUCEUSHEALTH by 2x Inferred from the description for this job Medical insurance Vision insurance 401(k) Tuition assistance Get notified about new Coding Specialist jobs in United States . HIM Coder (Part Time, 17 hours/week, Remote) Clinical Coding and Documentation Specialist (Remote) HIM Outpatient Surgery/Ambulatory Coder - OBGYN Medical Coding Specialist - Hospital and Ambulatory Surgery Center Contract Coding Specialist (Part Time - Remote) United States $60,000.00-$75,000.00 2 weeks ago Coding and Medical Records Auditor- Remote Anesthesia Coding Specialist II, PB Coding, Full-time, Days, (Remote - Must reside in IL, IN, IA, or WI - Sign-on bonus eligible) Outpatient SDS Coding Specialist, Fully Remote, CCS or RHIT certified, FT, 08A-4:30P Florida, United States $26.50-$34.45 1 week ago Inpatient Coding Specialist, Fully Remote, $5000 Bonus, CCS or RHIT certified, FT, 08A-4:30P Florida, United States $28.98-$37.67 1 week ago We're unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI.

#J-18808-Ljbffr