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Coding Specialist- Holds & Denials CPC

Coding Specialist- Holds & Denials CPC

CADUCEUSHEALTH®United States
30+ days ago
Job type
  • Full-time
Job description

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).

    • Work Environment & Requirements

  • 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.
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    Coding Specialist • United States