Coding Specialist II

Job Description Summary

How will you make an impact & Requirements

Key Responsibilities

• Ensure accurate ICD10CM and CPT coding with zero errors.
• Validate diagnosis and treatment documentation query providers for clarification.
• Stay current on coding guideline updates and communicate changes trends and payer issues to leadership.
• Use auditing tools to monitor accuracy identify trends and drive corrective action.
• Meet productivity benchmarks and maintain active professional coding certification.

Competencies

• Strong analytical problem-solving and decision-making skills.
• Clear adaptable communication and effective listening.
• High integrity accountability adaptability and attention to detail.
• Patient-focused compassionate and compliant with ethical standards.
• Proactive results-driven quality-oriented and collaborative team member.
• Demonstrates continuous learning initiative and technical proficiency.

Qualifications

• Associates degree or equivalent.
• 1 year clinical and/or Medicare Risk Adjustment experience; quality improvement experience preferred.
• Healthcare and insurance industry experience.
• Knowledge of clinical standards preventive care and office-based procedures.
• Certified Professional Coder (CPC or equivalent).
• Show proficiency in Microsoft Excel Word Outlook and Electronic Medical Record systems.

Physical & Work Requirements

• Primarily sedentary with occasional standing walking and lifting (up to 25 lbs).
• Requires fine motor skills visual acuity and standard office environment tolerance.