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Senior Coding Operations Specialist
The CORE Institute
Remote, USA
Full-time
Senior · 5+ years experience
Remote
Discovered 2 weeks ago
CPTICD-10-CMHCPCSNCCI
Free
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CPTICD-10-CMHCPCS
Key Skills for This Role
CPTICD-10-CMHCPCSNCCI
Full Job Posting
Essential Functions
- Monitor coding backlogs, turnaround times, unresolved encounters, missing documentation, and workflow exceptions.
- Reconcile coding work queues, surgery schedules, missing slips, EFS/charge capture systems, and other applicable workflows.
- Serve as a senior coding resource for complex procedural, surgical, specialty, and payer-related coding questions.
- Research and apply CPT, ICD-10-CM, HCPCS, NCCI, payer policies, and regulatory guidance.
- Identify coding trends, workflow concerns, documentation issues, and areas of risk and provide recommendations to Coding leadership/CDI.
- Support audit trend analysis, root-cause review, and development of corrective education.
- Assist the Coding Manager and Supervisors with special projects, workflow reviews, market needs, and process improvement initiatives.
- Escalate staffing or employee workflow and performance concerns to Coding leadership.
- Provide production coding support as needed based on departmental priorities.
Experience
- 5+ years of professional medical coding experience, preferably with orthopedic surgical coding. Must be AAPC/AHIMA certified with maintained credentials
Requirements
- Coding Certification from AAPC/AHIMA (CPC, CCS-P, COSC)
Knowledge
- Knowledge of medical terminology
- Strong experience reviewing operative reports and complex clinical documentation.
- Advanced knowledge of CPT, ICD-10-CM, HCPCS, modifiers, NCCI edits, and payer guidelines.
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