Advanced Coding Specialist

1776 S. Queen St • York, PA

13d

About The Position

The Advanced Coding Specialist works as part of the Coding Department within Revenue Cycle Management. This 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 while meeting payer, provider, location, regulatory, and industry requirements. 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

• Examine operative reports, anesthesia records, and surgical findings to extract accurate ICD-10-CM, ICD-10-PCS, CPT, and HCPCS codes based on payer, provider, and location billing requirements.
• Ensure coding compliance with federal regulations, payer policies, HIPAA, and industry standards.
• Identify and resolve documentation deficiencies and communicate with providers when clarification is needed.
• Validate that surgical requirements are met within clinical and financial records.
• Use coding software, an encoder, and other provided resources.
• Stay current on coding updates, payer guidelines, and healthcare regulations.
• Support overall revenue cycle efficiency.
• Maintain productivity goals set by the department.
• 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
• Education Level: High school or GED