Medical Coding Specialist

TEKsystems•St. Louis, MO

11d•$28 - $28•Hybrid

About The Position

We are seeking an experienced Medical Coding Specialist to join a dynamic healthcare revenue cycle team. This role is ideal for a certified coding professional with experience in medical appeals, accounts receivable, coding review, and reimbursement analysis. The successful candidate will play a critical role in resolving denied claims, researching payer policies, reviewing clinical documentation, and ensuring accurate coding and reimbursement. If you have strong analytical skills, a passion for problem-solving, and experience working in Epic, we'd love to connect with you.

Requirements

Certified Procedural Coder (CPC) certification OR RHIT/RHIA certification
Experience in one or more of the following: Medical coding, Medical billing, Healthcare accounts receivable (AR), Insurance collections, Revenue cycle operations, Medical appeals and denials management
Strong knowledge of: ICD-10 Coding, CPT Coding, HCPCS Coding, Medical Terminology, Insurance Appeals & Reimbursement Processes
Experience using Epic or a comparable healthcare billing platform

Nice To Haves

Experience supporting OB/GYN
Experience supporting Pediatrics
Experience supporting Physical Therapy
Experience supporting Ophthalmology
Detail-oriented and highly accurate
Skilled at analyzing complex payer denials
Comfortable researching policies and interpreting guidelines
Organized and able to manage multiple priorities
A strong communicator who collaborates effectively with clinical and administrative teams
Committed to maintaining patient confidentiality and professional standards

Responsibilities

Review and appeal denied claims from commercial and government payers
Draft appeal letters and compile supporting documentation
Research payer policies, regulations, and reimbursement guidelines
Investigate and resolve complex reimbursement issues
Review clinical documentation to ensure accurate code assignment
Assign and validate ICD-10, CPT, HCPCS, and Evaluation & Management (E/M) codes
Ensure diagnoses and procedures are properly documented and linked
Identify coding opportunities and areas of documentation improvement
Work Epic billing work queues and CRM tasks
Review remittance advice for payment accuracy and denials
Perform charge corrections as needed
Update insurance and demographic information within the billing system
Support AR follow-up and collections activities
Partner with providers, coding teams, and revenue cycle colleagues to resolve payer issues
Provide guidance on medical terminology, coding practices, and policy interpretation
Assist with special revenue cycle projects and initiatives