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Coding Specialist

Cass Health -
Atlantic, IA

Quick Apply

Job Details

Full-time

Qualifications

Anatomy knowledge
Regulatory compliance
High school diploma or GED
Electronic health record (EHR) management for billing and coding
Medical terminology

Full Job Description

Coding Specialist

Full-Time (80 Hours/Pay Period)

Schedule: Monday-Friday, set schedule upon hire
Work Arrangement: Hybrid/Remote options available after successful completion of the probationary period

What You'll Do

As a Coding Specialist, you will play a critical role in ensuring the accuracy, integrity, and compliance of patient health records. You will review clinical documentation, assign appropriate diagnostic and procedural codes, support reimbursement processes, and collaborate with providers to promote accurate clinical documentation and coding practices.

In this role, you will:

Review and analyze medical records for completeness and compliance with organizational, state, and federal requirements.
Abstract clinical information from medical records, charts, and supporting documentation.
Assign accurate ICD-10-CM, ICD-10-PCS, CPT, HCPCS, and modifier codes based on provider documentation and coding guidelines.
Ensure coded records support appropriate reimbursement, quality reporting, research, and regulatory compliance.
Verify patient information and confirm all documents are accurately matched to the appropriate medical record.
Maintain advanced knowledge of coding regulations, reimbursement methodologies, and compliance requirements through continuous education and review of guidance from Medicare, commercial payers, AAPC, AHIMA, and other regulatory organizations.
Review and resolve coding-related claim denials and assist with resubmissions as needed.
Monitor delinquent and deficient records to support compliance with Medicare, Medicaid, and organizational standards.
Collaborate with physicians and clinical staff to improve documentation quality and support clinical documentation improvement initiatives.
Demonstrate a strong understanding of medical terminology, anatomy, physiology, and healthcare regulations.
Participate in quality improvement activities and coding audits as assigned.
Utilize electronic health records and coding software to ensure accurate and timely coding and record completion.
Maintain confidentiality and security of patient information in accordance with HIPAA requirements.
Perform all other duties as assigned.

What We're Looking For

We're seeking a detail-oriented professional with strong analytical skills, coding expertise, and a commitment to accuracy and compliance. The ideal candidate enjoys working independently while collaborating with providers and healthcare teams to support quality patient care and organizational success.

Required Education

High School Diploma or GED

Required Licenses & Certifications

Current coding certification through AAPC or AHIMA (such as CPC, CCS, CCA, RHIT, RHIA, or equivalent)

Preferred Experience

Two (2) or more years of medical coding experience
Equivalent combination of education and related experience may be considered

Required Skills & Qualifications

Knowledge of ICD-10-CM, ICD-10-PCS, CPT, HCPCS, and modifier assignment
Strong understanding of medical terminology, anatomy, physiology, and disease processes
Knowledge of healthcare reimbursement methodologies and regulatory requirements
Strong attention to detail and commitment to accuracy
Excellent organizational, communication, and problem-solving skills
Ability to independently prioritize workload and meet productivity standards
Proficiency with electronic health records and coding software
Ability to maintain confidentiality and handle sensitive information appropriately

Preferred Qualifications

Experience with hospital and physician coding
Experience with denial management and claim resolution
Clinical documentation improvement (CDI) experience
Familiarity with Medicare, Medicaid, and commercial payer guidelines

Join our team and help ensure accurate documentation, quality reporting, regulatory compliance, and appropriate reimbursement while supporting exceptional patient care.

Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights (https://www.eeoc.gov/poster) notice from the Department of Labor.

Quick Apply

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claims specialist jobs in atlantic, ia

Coding Specialist

SIU Commercial Lines Specialist - Full Time/Remote

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