Coding Specialist - TMG Billing (Days)

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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 Responsibilities

• Assign 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 A / R 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.

Education

Experience

Licenses & Certifications

Knowledge, Skills & Abilities

Seniority Level

Entry level

Employment Type

Full-time

Job Function

Health Care Provider

Industries

Hospitals and Health Care

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