Medical Coding Specialist

Obstetrics & Gynecology Specialists•Davenport, IA

3d•Onsite

About The Position

Under general supervision, the Medical Coding Specialist reviews, analyzes, and validates provider documentation to ensure accurate, complete, and compliant coding of diagnoses and procedures. This role supports timely and appropriate reimbursement by assigning correct ICD-10-CM, CPT, and HCPCS Level II codes for professional services in both office and hospital settings. The position also serves as a coding resource for providers, offering education and guidance to support accurate documentation within the Electronic Health Record (EHR).

Requirements

High School Diploma or equivalent required.
Active professional coding certification required (CPC, CCS, RHIT, or RHIA).
Minimum of 2 years of professional medical coding experience preferred (OB/GYN experience strongly preferred).
Demonstrated proficiency with ICD-10-CM, CPT, and HCPCS Level II coding systems.
Experience with EHR and practice management/billing systems.
Strong computer skills, including Microsoft Office applications.
Thorough knowledge of official coding guidelines and conventions established by AMA, CMS, and AHA.
Working knowledge of federal and state regulations impacting coding, billing, and reimbursement.
Understanding of professional fee billing and common payer requirements.
Strong analytical skills with attention to detail and accuracy.
Ability to interpret clinical documentation and apply appropriate codes independently.
Excellent written and verbal communication skills, including the ability to educate providers diplomatically.
Strong organizational and time-management skills with the ability to meet deadlines.
Ability to handle sensitive and confidential information in accordance with HIPAA.

Nice To Haves

Minimum of 2 years of professional medical coding experience preferred (OB/GYN experience strongly preferred).

Responsibilities

Reviews and codes professional services for office and hospital encounters in accordance with official coding guidelines and payer requirements.
Audits medical records prior to billing to ensure documentation supports reported diagnoses, procedures, and Evaluation & Management (E/M) levels.
Applies accurate ICD-10-CM diagnosis codes, CPT procedure codes, and HCPCS Level II codes for all services rendered.
Analyzes provider documentation to ensure correct assignment of E/M levels using current CMS and AMA guidelines.
Performs quantitative record analysis to ensure completeness, including patient identifiers, required signatures, dates, and supporting documentation.
Performs qualitative record analysis to assess documentation consistency, clarity, and adequacy relative to services billed.
Ensures coding and documentation compliance with federal and state regulations, CMS guidelines, and payer-specific rules.
Identifies coding trends, errors, or opportunities for improvement and communicates findings to leadership and providers.
Provides education, feedback, and training to providers and staff on documentation and coding best practices.
Collaborates with billing, compliance, and clinical teams to resolve coding-related issues and denials.
Maintains required productivity, accuracy, and quality standards.
Attends continuing education, seminars, and in-services to remain current with coding changes and regulatory updates.
Maintains compliance with organizational policies, compliance program standards, and the Code of Conduct.
Performs other related duties as assigned.