Coding Specialist

Job Description – Coding Specialist II

For more than three decades, Shoreline Orthopaedics has been providing West Michigan residents with comprehensive, compassionate, state-of-the-art orthopaedic services. During that time, we’ve earned our strong reputation for practicing medicine with honesty and integrity while delivering unsurpassed excellence in patient care.

Job Title: Coding Specialist II Primary Location: Holland

Status: Full Time/Hourly/Non-Exempt Supervisor: Billing Supervisor

Last Reviewed: February 2026

Job Summary: The Coding Specialist II reviews EMR documentation to assign CPT, ICD-10, and HCPCS codes for clinic, telehealth, DME, procedural, and surgical services. They will support revenue cycle operations by posting payments, resolving denials, correcting claims, and monitoring accounts receivable. They will ensure coding and documentation accuracy, work independently on hospital and on-call cases, and respond to provider and patient inquiries. They will assist with reporting, tracks consultations and incomplete documentation, and provide support for surgery coding.

Primary Responsibilities:

• Review EMR documentation to assign CPT, ICD-10, and HCPCS codes

• Answer patient calls and assist with billing questions

• Submit corrected claims or addendums to clean up denials

• Post patient and insurance payments

• Work claim denials and submit appeals as directed

• Monitor AR and resubmit claims with errors

• Code clinic visits, telehealth, and DME

• Code routine office visits, injections, and fracture care

• Check documentation and code accuracy for standard encounters

• Bill surgeries across multiple facilities (including ZH)

• Review and resolve payer-denied claims (POS 19, 21, 22, 23)

• Work independently on hospital/on-call patient coding

• Support and respond to TEs and provider code inquiries daily

• Review and correct claims “Pending with Errors”

• Use HH system to run reports for consult/surgery billing

• Identify bundled services and send notifications to Financial Team

• Conduct payer website and phone outreach for coding questions

• Track ER consults, on-call patients, and ensure documentation is complete

• Code in-office procedures and SNF services

• Address emails and questions from surgery schedulers

• Assist in provider communication as directed

• Provide backup coverage for surgery coding

Qualifications:

• High school diploma or equivalent

• 3 years of coding experience

• Preferred certifications: CPC, CCS, CCS-P, RHIT, RHIA

Working & Environmental Conditions:

• Primarily in an indoor clinical/office setting with moderate noise levels. Occasional lifting of 50 pounds is required. The role may require prolonged periods of standing and frequent use of computer equipment.

We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, age, or any other characteristic protected by applicable law.

Work Location: In person