Senior Coding Specialist

Howard University•Washington, DC

About The Position

The Howard University Faculty Practice Plan Senior Coding Specialist is responsible for accurate and timely assignment of CPT, HCPCS, ICD-10-CM, and modifiers for professional services rendered across a multispecialty practice. This role ensures coding compliance with regulatory and payer-specific guidelines while optimizing reimbursement and minimizing denials. The Senior Coding Specialist serves as a subject matter expert and mentor to junior coders, and collaborates closely with clinical staff, billing teams, and revenue cycle leadership.

Requirements

High school diploma or GED
5+ years of professional coding experience in a multispecialty ambulatory or physician practice setting
Active CPC, CCS-P, or equivalent certification from AAPC or AHIMA
Strong knowledge of CPT, ICD-10-CM, HCPCS, and modifier usage
Familiarity with EHR and PM systems, preferably Veradigm, Oracle Health EMR platforms
Working knowledge of payer-specific billing guidelines and coding edits (CCI, MUEs, etc.)

Nice To Haves

Associate’s degree in health information management, Health Sciences, or related field
Experience with audit response and clinical documentation improvement initiatives

Responsibilities

Assign accurate and complete diagnosis and procedure codes for encounters across multiple specialties, including, but not limited to, pediatrics, OBGYN, orthopedics, dermatology, internal medicine, psychiatry, and surgical services
Review clinical documentation for completeness and clarity, query providers when appropriate
Ensure compliance with coding and billing regulations including CMS, CPT/ICD coding guidelines, and payer-specific rules
Participate in internal audits and implement coding corrections or education as needed
Monitor coding denials, identify root causes, and recommend corrective actions
Serve as a coding resource and provide guidance or training to peers and revenue cycle team members
Collaborate with clinical departments to clarify documentation and improve coding accuracy
Maintain productivity and accuracy standards as defined by department goals
Assist in the development and revision of internal coding policies, workflows, and education materials