PRN Corporate Coding Specialist

The PRN Corporate Coding Specialist is responsible for accurately reviewing, interpreting, and assigning appropriate diagnosis and procedure codes for behavioral health and related services. This position supports the organization's revenue cycle by ensuring that clinical documentation supports billed services and that coding is accurate, complete, compliant, and consistent with applicable coding guidelines, payer requirements, and organizational policies.

The Corporate Coding Specialist works collaboratively with clinical, billing, utilization review, and other revenue-cycle personnel to identify and resolve coding or documentation discrepancies and support timely and accurate reimbursement.

• Review medical records and clinical documentation to determine appropriate diagnosis and procedure codes.
• Assign ICD-10-CM, CPT, HCPCS, and other applicable codes based on documented services.
• Ensure codes accurately reflect the patient's documented diagnoses, services provided, and level of care.
• Review documentation for completeness, accuracy, medical necessity, and coding compliance.
• Identify coding discrepancies, missing documentation, and potential billing issues and communicate findings to appropriate personnel.
• Apply current behavioral health coding guidelines, payer requirements, and organizational coding policies.
• Assist with coding-related denials, audits, appeals, and reimbursement inquiries as assigned.
• Conduct coding audits and quality reviews to identify trends, errors, and opportunities for improvement.
• Maintain confidentiality of protected health information in accordance with HIPAA and organizational policies.
• Collaborate with clinical and revenue-cycle teams to clarify documentation and coding questions.
• Maintain current knowledge of changes to ICD-10-CM, CPT, HCPCS, payer requirements, and behavioral health billing practices.
• Assist with special coding, auditing, and revenue-cycle projects as assigned.
• Meet established productivity, accuracy, and turnaround-time standards.
• Perform other duties consistent with the position and organizational needs.

• High school diploma or equivalent.
• Must be 21 or older
• Previous medical coding experience, preferably in behavioral health, mental health, substance use, or another healthcare setting.
• Knowledge of ICD-10-CM and CPT coding principles.
• Understanding of medical terminology and clinical documentation.
• Strong attention to detail and ability to identify discrepancies in complex records.
• Ability to maintain confidentiality and handle protected health information appropriately.
• Strong organizational, analytical, and communication skills.
• Proficiency with electronic medical records and computer applications.