Job Title: Coding Specialist

Job Type: Full-time, 40 hours per week

Location: Remote with potential need to come into Bloomington clinic

Reports to: Coding Team Lead and Revenue Cycle Manager

Position Description

The Coding Specialist ensures accurate and compliant coding of patient encounters using CPT, HCPCS, and ICD-10-CM guidelines. This role is critical to optimizing reimbursement, reducing claim denials, and supporting clinical documentation integrity. The Coding Specialist collaborates with providers and internal teams to maintain compliance with federal, state, and payer regulations while upholding the clinic’s core values of integrity, respect, and trust.

Major Responsibilities

• Review patient charts and provider documentation to assign accurate procedure and diagnosis codes.

• Coordinate coding activities with physicians and advanced practice providers to ensure timely claim submission.

• Perform quality assurance reviews for completeness and accuracy of charting and dictation.

• Communicate with providers and external contacts to validate or obtain necessary information.

• Implement new or revised coding guidelines and procedure codes annually.

• Interpret federal, state, and payer regulations; advise providers and leadership on compliance requirements.

• Ensure internal policies align with current coding regulations, payer requirements, and industry best practices.

• Provide feedback to providers based on identified coding trends and opportunities for improvement.

Primary Accountabilities

• Support the rapid and accurate conversion of insurance revenue into cash flow by ensuring timely and precise coding.

• Collaborate across departments to develop and maintain processes that improve coding and claim workflows.

• Resolve coding-related claim denials, rejections, and reimbursement discrepancies.

• Maintain a positive and respectful work environment, fostering teamwork and collaboration.

Performance Expectations

• Maintain coding accuracy rate of 95% or higher.

• Complete coding within 48 hours of encounter closure.

• Deliver exceptional customer service to patients, providers, and external contacts.

• Stay current with coding guidelines and participate in continuing education.

Education and Experience

• High school diploma or GED required; Associate degree in Health Information Management or related field preferred.

• Minimum of 3 years of medical coding experience.

• Certification required: CCA; CPC or CCS strongly preferred.

• Proficiency in EHR systems and coding software; familiarity with claim scrubbers and billing platforms.

Core Competencies

• Strong knowledge of CPT, HCPCS, and ICD-10-CM coding standards.

• Understanding of payer requirements and compliance regulations.

• Excellent attention to detail and organizational skills.

• Ability to communicate effectively with providers and team members.

You will also be eligible for the following benefits:

• Medical, Dental, Vision

• Life Insurance and Long-Term Disability

• Retirement Savings Plan

• Paid Time Off