Medical Coding Specialist

Sisters of Mercy Urgent Care DBA Mercy Urgent CareAsheville, NC
8h

About The Position

Mercy Urgent Care is seeking a Medical Coding Specialist to support the integrity of our revenue cycle and ensure accurate, compliant coding for urgent care and occupational health services. This role is ideal for an experienced coder who enjoys accuracy, problem-solving, education, and collaboration within a fast-paced healthcare environment. You’ll work closely with providers, billing, and revenue cycle teams to ensure documentation supports coding, payer requirements are met, and reimbursement is optimized—all while maintaining the highest standards of compliance. The Medical Coding Specialist is responsible for reviewing clinical documentation, assigning appropriate medical codes, auditing for compliance, and supporting provider credentialing and enrollment with insurance payers. This role plays a critical part in revenue cycle operations by reducing denials, ensuring regulatory compliance, and educating providers and staff on best coding and documentation practices.

Requirements

  • 3–5 years of medical coding experience, preferably in urgent care or outpatient settings
  • Experience with provider credentialing and compliance auditing strongly preferred
  • Proficiency with EHR and coding software (Athena experience preferred)
  • High school diploma or equivalent required; associate degree in Health Information Management or related field preferred
  • Active coding certification required (CPC, CCS, or CCS-P)
  • In-depth knowledge of medical terminology, anatomy, and disease processes
  • Exceptional attention to detail and strong analytical skills
  • Strong critical thinking and problem-solving abilities
  • Excellent written and verbal communication skills, especially for provider education
  • Ability to work independently, manage multiple priorities, and meet deadlines

Nice To Haves

  • Additional certifications such as CPMA or CPCS are a plus
  • Athena experience preferred

Responsibilities

  • Review clinical documentation and accurately assign ICD-10, CPT, and HCPCS codes for urgent care and occupational health services
  • Apply correct modifiers and ensure coding complies with national guidelines, CMS regulations, and private payer policies
  • Perform timely charge coding and resolve coding edits, denials, and underpayments
  • Ensure documentation supports coded services and meets medical necessity requirements
  • Interpret payer-specific rules including E/M levels, modifiers, global services, and same-day billing
  • Conduct regular internal audits of medical documentation and coded claims
  • Analyze audit findings and denial trends; report results to management
  • Assist with the development and maintenance of coding and documentation compliance policies and procedures
  • Maintain strict adherence to HIPAA and patient confidentiality standards
  • Provide ongoing coding education and documentation guidance to providers and clinical staff
  • Stay current on coding updates, payer policy changes, and industry best practices
  • Collaborate with billing and revenue cycle teams to support clean claim submission and accurate reimbursement
  • Support provider credentialing and enrollment with insurance payers
  • Maintain accurate provider records and ensure compliance with payer requirements
© 2024 Teal Labs, Inc
Privacy PolicyTerms of Service