Coding Specialist

Advantia is seeking a Coding Specialist to join our team! The ideal candidate will have a strong background in medical coding, attention to detail, and the ability to lead and mentor a team of Medical Billers. This role is critical in ensuring accurate and efficient coding practices, compliance with regulatory standards, and optimizing revenue cycle processes. The ideal candidate for this role will have subspeciality in lab billing, genetic testing, cancer screening, and mammography.

Job Responsibilities: 

• Review Medical Records to identify diagnoses/procedures. 

• Perform accurate and timely coding of medical records using ICD-10-CM, CPT, and HCPCS codes. 

• Ensure compliance with federal and state regulations, payer guidelines, including Medicare and Medicaid guidelines and company policies. 

• Act as a liaison between the coding team and other departments, such as billing, compliance. 

• Work closely with OBGYN physicians, advanced practice providers, nurses, and administrative staff to ensure accurate coding and billing. 

• Track and request outstanding claims for assigned departments / facilities. 

• Implement best practices and innovative solutions to enhance coding operations. 

Qualifications: 

• High School/GED Education required 

• Prior experience in lab billing, genetic testing, cancer screening, and mammography is preferred. 

• This position requires certification as a Certified Coding Specialist (CCS) or Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA). 

• CPC-P or CPC certification is required (AAPC) 

• Certification in OBGYN coding (COBGC) preferred. 

• Minimum of 2 years of medical coding experience, with a focus on OBGYN coding. 

• In-depth knowledge of ICD-10-CM, CPT, HCPCS coding systems, and medical terminology. 

• Proficiency in electronic health records and billing software preferred. 

Please note: Advantia Health is dedicated to providing unparalleled healthcare to our customers by employing the most highly-qualified individuals. If you are selected for further consideration, you will be subject to a background investigation. COVID-19 and Flu vaccination or an approved request for accommodation is required as a condition of employment.

Advantia Health is an Equal Opportunity Employer that is committed to global diversity:  It is a place where good people want to work, and customers want to continue to engage EOE M/F/D/V.