Medical Coding Specialist (remote)

Southwoods Health•Boardman, OH

1d•Remote

About The Position

Medical Coding Specialist – Southwoods Health Southwoods Health is seeking a Medical Coding Specialist to join our team. This position offers the flexibility of being fully remote (must be within commutable distance of Boardman, OH, for training) or fully in-office at our Boardman location. The Medical Coding Specialist is responsible for the accurate assignment of CPT, HCPCS, and ICD-10-CM codes to ensure compliant billing for all assigned clinical encounters. At Southwoods, it's not just about the treatment, but how you're treated.

Requirements

Certification: Current medical coding certification (CCS, CCA, CPC, RHIT, COC, ACA, or CIC) is required.
Experience: Minimum of 3 years of professional coding experience.
Technical Skills: Working knowledge of Microsoft Excel and experience with E/M coding for specialty offices.
Expertise: Proficiency in assigning CPT and ICD-10-CM codes for high-level office and hospital procedures.

Responsibilities

Read and abstract E/M levels from specialty office or hospital documentation.
Provide CPT codes for surgeries, anesthesia, pain management, and radiology as needed.
Query physicians within the Meditech system; for those not on Meditech, coordinate with the assigned hospital contact person.
Apply bundling concepts and strictly adhere to CMS guidelines.
Assign ICD-10-CM codes to the highest level of specificity.
Understand and appropriately assign HCPCS codes based on the Place of Service (POS).
Accurately append modifiers as required.
Maintain knowledge of various payer groups (e.g., Medicaid HMO, Medicare HMO) and apply appropriate coding guidelines.
Maintain a 95% coding accuracy rate while meeting established productivity standards.
Demonstrate a solid understanding of anatomy and physiology.
Research complex coding scenarios and consult with supervisors when necessary.
Ensure all processes at assigned physician practices maintain compliance with regulatory agencies.
Perform other duties as assigned.