What are the responsibilities and job description for the Certified Medical Coding Specialist position at Open Door Family Medical Center?
JOB SUMMARY
The Certified Medical Coding Specialist is responsible for reviewing denied medical claims, correcting coding and billing errors, and preparing claims for timely resubmission. This is a temporary, part-time position (20 hours per week for approximately four months) supporting revenue cycle operations. The position offers a hybrid work schedule with flexible hours and the potential to transition to a fully remote arrangement based on performance.
DUTIES AND RESPONSIBILITIES
- Review payer denials and determine the reason for denial.
- Research medical records, coding, payer policies, and billing guidelines.
- Correct CPT, HCPCS, ICD-10-CM, modifiers, and other claim elements as appropriate.
- Prepare corrected claims and supporting documentation for resubmission.
- Work with billing staff to resolve complex claim issues.
- Identify denial trends and communicate recurring issues to leadership.
- Maintain productivity and quality standards while meeting filing deadlines.
- Document all actions taken in the practice management system.
- Perform other revenue cycle duties as assigned.
QUALIFICATIONS
EDUCATION
- Current CPC, CCS, or equivalent coding certification required.
EXPERIENCE
- Minimum of 2 years of professional medical coding experience; denial management experience preferred.
- Strong knowledge of ICD-10-CM, CPT, HCPCS Level II, and payer billing requirements.
- Experience with electronic health records and practice management systems; eClinicalWorks experience preferred.
- Excellent analytical, organizational, and problem-solving skills.
- Ability to work independently with minimal supervision.
- Strong written and verbal communication skills.
- Proficiency in Microsoft Office, particularly Excel.
WORKING CONDITIONS
- Part-time: 20 hours per week.
- Duration: Approximately 4 months.
- Hybrid work environment with flexible scheduling.
- Potential for fully remote work over time based on performance and business needs.
PHYSICAL REQUIREMENTS
- Regular use of a computer and keyboard.
- Ability to remain seated for extended periods with occasional standing and walking.
Salary : $35