Top 42345 Coding professionals Jobs

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Certified Coding Specialist

Altitude Sport & Spine
Idaho Falls, ID

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Job Details

Part-time | Full-time
$23.59 - $28.40 an hour

Benefits

Health insurance
401(k)
Flexible schedule

Qualifications

High school diploma or GED
Certified Professional Coder
ICD-10
Certified Coding Specialist
CPT coding
Medical billing and coding experience in orthopedics

Full Job Description

The Certified Coding & Billing Specialist is a foundational team member supporting both the financial sustainability and growth of Altitude Sport & Spine, a developing private practice specializing in sports medicine and spine care. This role ensures accurate coding, efficient billing, and timely reimbursement while helping establish strong revenue cycle processes during the practice’s early growth phase. As a new practice, Altitude Sport & Spine relies on clean claims, payer credibility, and a positive patient financial experience to build trust, reputation, and referral relationships in the community. The Certified Coding & Billing Specialist contributes directly to this mission by promoting billing transparency, minimizing patient confusion, reducing denials, and supporting optimized reimbursement that allows the practice to reinvest in services, technology, and patient care. This position collaborates closely with providers and leadership to develop scalable coding and billing workflows, support accurate documentation from the outset, and identify opportunities to enhance revenue integrity as service lines expand. The ideal candidate is proactive, adaptable, and motivated to help shape best practices in a growing specialty clinic while upholding the highest standards of compliance, professionalism, and patient-centered service.

Essential Duties and Responsibilities
Review clinical documentation to accurately assign CPT, ICD-10-CM, and HCPCS codes for professional services, procedures, injections, diagnostics, and ancillary services
Ensure appropriate modifier usage and compliance with NCCI edits, LCDs, and payer-specific guidelines
Validate medical necessity and documentation sufficiency prior to claim submission
Collaborate with providers to clarify documentation and support accurate coding
Submit clean claims to commercial, Medicare, and Medicaid payers in a timely manner
Monitor claim status and proactively follow up on unpaid, denied, or underpaid claims
Identify root causes of denials and implement corrective actions to prevent recurrence
Process corrections, resubmissions, and appeals as necessary
Post insurance payments, adjustments, and patient payments accurately
Reconcile Explanation of Benefits (EOBs) with posted payments
Identify and escalate discrepancies, underpayments, or payer variances
Maintain compliance with federal, state, and payer billing regulations, including HIPAA
Stay current on coding updates, payer policy changes, and reimbursement trends
Assist with internal and external audits, providing documentation and explanations as needed
Support revenue cycle reporting and performance improvement initiatives
Respond professionally to patient billing inquiries and concerns
Work collaboratively with front office, clinical staff, and leadership to improve workflows
Maintain strict confidentiality of patient and financial information
Exceptional attention to detail and accuracy
Strong analytical and problem-solving skills
Ability to manage multiple tasks and deadlines independently
Clear and professional written and verbal communication
Collaborative mindset with a focus on continuous improvement
Commitment to ethical billing practices and compliance
Ability to stand, walk, and move throughout the clinic for extended periods.
Primarily office-based work environment- potential for remote options
Prolonged periods of sitting and computer use
Occasional lifting of office materials up to 15 pounds

Pay: $23.59 - $28.40 per hour

Benefits:

401(k)
Flexible schedule
Health insurance

Experience:

CPT coding: 2 years (Preferred)

License/Certification:

Certified Professional Coder (Required)

Location:

Idaho Falls, ID 83404 (Required)

Ability to Commute:

Idaho Falls, ID 83404 (Required)

Work Location: Hybrid remote in Idaho Falls, ID 83404

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