Advanced Coding Specialist

OSS Health • York Township, PA

13d

About The Position

The Advanced Coding Specialist works within the Coding Department in Revenue Cycle Management. The role codes physician and facility services for the hospital, ambulatory surgery center (ASC), emergency department consults, hospitalist services, and/or on-call and offsite services. The specialist reviews surgical documentation to assign accurate codes, supports coding compliance and revenue cycle efficiency, and works with providers to resolve documentation questions. The schedule is Monday through Friday, 8:00 a.m. to 4:30 p.m.

Requirements

• High school diploma or equivalent.
• Active AAPC CPC or AHIMA CCS certification.
• Active advanced specialty certification through AAPC or AHIMA, such as COC, CIC, COSC, CASCC, CANPC, CDEO, CDEI, CGSC, or CIRCC.
• At least 1 year of hands-on surgical coding experience and facility-based billing experience.
• Strong understanding of CPT, HCPCS Level II procedure and supply codes, anesthesia coding, and ICD-10-CM diagnosis coding.
• Knowledge of coding in surgical practices, ambulatory surgery centers, and inpatient and outpatient hospital settings.
• Strong understanding of National Correct Coding Initiative (NCCI) edits, medical necessity requirements, and bundling guidelines.
• Advanced analytical and problem-solving skills.
• Ability to work independently.
• High-level knowledge of general surgery-related medical terminology, anatomy, and pathophysiology.
• Fluent written and spoken English.

Responsibilities

• Review operative reports, anesthesia records, and surgical findings to assign accurate ICD-10-CM, ICD-10-PCS, CPT, and HCPCS codes according to payer, provider, and location billing requirements.
• Ensure coding complies with federal regulations, payer policies, HIPAA, and industry standards.
• Identify and resolve documentation deficiencies, communicating with providers when clarification is needed.
• Validate that surgical requirements are met in clinical and financial records.
• Use coding software, an encoder, and other provided resources.
• Stay current with coding updates, payer guidelines, and healthcare regulations.
• Support overall revenue cycle efficiency.
• Meet department productivity goals.
• Assist with E/M coding as needed.
• Perform other duties as assigned.

Benefits

• Competitive wages.
• Medical, dental, and vision coverage available on the first day of employment.
• Disability and life insurance within 90 days.
• Company-paid group life insurance, short-term disability, and long-term disability.
• Paid time off (PTO).
• 401(k) plan and profit sharing.
• Career advancement opportunities.
• Professional development opportunities.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED