Coding Specialist II

Accountabilities: Review provider documentation in Epic to ensure professional services are accurately, completely, and compliantly coded. Initiate and manage documentation queries through Epic In Basket, Outlook, or other appropriate channels when clarification is required. Assign CPT, ICD-10-CM, and HCPCS codes in accordance with applicable federal, state, payer, and organizational guidelines. Ensure accurate and timely charge capture and resolve coding edits before claim submission. Coordinate billing information and verify that charges are complete and properly supported. Accurately enter and maintain coding and billing information in Epic and other applicable systems. Maintain a coding accuracy rate of 95% or higher while meeting departmental productivity expectations of approximately 8–15 codes per hour . Complete assigned coding work within established turnaround-time requirements and departmental standards. Resolve coding, documentation, and billing issues with providers before claims are submitted for processing. Serve as a resource for professional billing policies, documentation standards, coding questions, and reimbursement requirements. Monitor updates from CMS, AMA, CPT, ICD-10, HCPCS, payer bulletins, coding publications, and relevant regulatory organizations. Communicate applicable coding, billing, and regulatory changes to providers and colleagues when appropriate. Assist with implementing coding, workflow, and process changes as business and regulatory requirements evolve. Identify opportunities to improve coding accuracy, compliance, workflow efficiency, and appropriate reimbursement. Participate in coding quality reviews, compliance initiatives, and continuing education activities. Support billing and collection teams by resolving coding-related claim edits and identifying issues that could delay billing or reimbursement. Respond to coding inquiries and provide guidance that supports accurate charge submission and timely reimbursement. Perform other duties and projects as assigned based on departmental priorities. Requirements High school diploma or GED required. At least 2 years of professional-fee coding experience in a hospital or healthcare environment, or an equivalent combination of education, training, and relevant experience. Completion of a medical records coding program through an accredited college or comparable coding education is preferred. Current Certified Professional Coder (CPC) certification is required. Current coding certification through AAPC or AHIMA, such as CPC, RHIA, RHIT, or CCS, or an equivalent recognized certification. Strong working knowledge of CPT, ICD-10-CM, HCPCS, medical terminology, and applicable coding and reimbursement regulations. Proficiency with Epic and Microsoft Word and Excel. Strong attention to detail and demonstrated commitment to coding accuracy and compliance. Excellent written and verbal communication skills, with the ability to collaborate effectively with clinicians, billing professionals, administrators, and other stakeholders. Ability to work independently while consistently meeting productivity, quality, and turnaround-time expectations. Strong analytical and problem-solving skills for resolving documentation, coding, and billing issues. Ability to stay current with changing coding standards, payer requirements, and healthcare regulations. Ability to perform the essential functions of the position with or without reasonable accommodation. Experience with pain management and critical care professional-fee coding is strongly preferred. Training through an accredited coding program is advantageous. College coursework in anatomy and physiology, CPT, ICD-10-CM coding, or related subjects is a plus. Benefits Annualized hourly pay range of $34.15–$46.15 per hour , with the offer determined by experience, education, and internal equity. Primarily remote work within the United States. Flexible working hours based on departmental needs and manager approval. Full-time employment with a regular work schedule. Opportunity to work within a leading academic healthcare environment combining patient care, research, and professional education. Exposure to specialized coding and billing activities across pain management, critical care, and other clinical services. Opportunities for ongoing professional development and continued coding education. Collaborative work environment involving clinicians, billing specialists, administrators, and healthcare professionals. Opportunity to contribute to coding quality, compliance, reimbursement accuracy, and healthcare operations.