Certified Coding Specialist (Remote, Remote, US)

Job Desceiption: Certified Inpatient/Outpatient Medical Coding Specialist Front-End Coding | Coding Denials | Claim Rejections Position Summary The Certified Coding Specialist is responsible for reviewing medical documentation and assigning accurate diagnosis and procedure codes for inpatient and outpatient facility services while ensuring compliance with ICD-10-CM/PCS, CPT, HCPCS, payer policies, and regulatory guidelines. This position also supports coding-related claim denials and front-end claim edits/rejections by identifying coding opportunities prior to claim submission and resolving post-adjudication coding issues. The ideal candidate possesses strong analytical skills, attention to detail, and the ability to work collaboratively with providers, CDI, billing, and revenue cycle teams to maximize coding accuracy and reimbursement. Education & Certification Required: Active CPC, COC, CCS, or CIC certification. Preferred Qualifications Experience coding both inpatient and outpatient facility accounts. Experience reviewing coding-related denials and appeals. Experience resolving front-end claim edits and payer rejections. Knowledge of Medicare, Medicaid, and commercial payer reimbursement guidelines. Experience using coding encoders and electronic medical record systems (e.g., 3M, TruCode, Epic, Meditech, Cerner). Knowledge of DRG, APC, NCCI edits, and medical necessity guidelines. Minimum Qualifications 2+ years of inpatient and/or outpatient facility coding preferred. Strong knowledge of ICD-10-CM, ICD-10-PCS, CPT, HCPCS Level II, modifiers, DRGs/APCs. Knowledge of NCCI edits, LCD/NCDs, CMS regulations, and Official Coding Guidelines. Excellent communication and Microsoft Office skills. Ability to prioritize work, meet deadlines, and work independently. Primary Responsibilities – Front-End Coding Review inpatient, outpatient, ED, observation, surgery, and ancillary records. Assign accurate ICD-10-CM, ICD-10-PCS, CPT, HCPCS, and modifier codes. Review coding edi