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Coding Specialist

workfromhome • Posted 4 days ago
Remote Full Time Healthcare Practitioners and Technical Occupations

To ensure compliance with Medicare and Medicaid regulations, the full-time remote Coding Specialist will manage all aspects of medical coding and chart auditing, focusing on accurate coding, billing, and documentation practices in a primary care or long-term care environment. Key Responsibilities: Ensure all coding and billing practices comply with Medicare, Medicaid, and commercial insurance regulations while conducting internal audits Perform regular chart audits to verify documentation supports coding and billing, collaborating with providers on code usage Oversee coding accuracy for medical claims and address billing errors, denials, and appeals in partnership with the revenue cycle team Required Qualifications: Minimum 3 years of experience in medical coding and auditing within a medical practice Certification as a CPC, CPMA, or CCS is preferred but not mandatory In-depth knowledge of Medicare and Medicaid regulations, CMS guidelines, and OIG compliance programs Proficiency in EHR/EMR systems, coding software, and billing platforms Prior management or supervisory experience is preferred

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