Medical Coding Specialist (Remote, Full Time)

About the role

The Medical Coding Specialist reviews clinical documentation and assigns accurate diagnosis, procedure, and quality‑reporting codes in line with U.S. coding guidelines and payer requirements. This role supports claim preparation, risk‑adjustment reporting, and regulatory compliance while collaborating with providers and internal teams.

Key responsibilities

• Review encounter notes, consultations, discharge summaries and other medical records.
• Assign accurate ICD‑10‑CM, CPT, HCPCS Level II, and quality‑reporting codes.
• Enter validated codes into the practice’s EMR or billing system.
• Apply current coding guidelines, payer rules, and documentation standards.
• Identify incomplete or unclear documentation and coordinate clarification with providers.
• Conduct prospective, concurrent, and retrospective coding reviews and audits.
• Report opportunities to improve documentation, coding accuracy, and quality‑reporting processes.
• Collaborate with supervisors, clinical staff, and other departments to resolve coding questions.

Required profile

• Bachelor’s degree or equivalent four‑year college degree.
• U.S. medical coding experience.
• Certified Professional Coder (CPC) credential or equivalent AHIMA certification (preferred).
• Strong written and verbal English communication skills.
• Excellent organizational, customer service, and problem‑solving abilities.

Required skills

• Proficiency in assigning ICD‑10‑CM, CPT, and HCPCS codes.
• Knowledge of U.S. coding and documentation standards, payer requirements, Medicare risk‑adjustment methodology, and HEDIS measures.
• Experience with Microsoft Word, Excel, email, payer portals, and EMR systems.