Certified Coding Escalation Specialist - job 1 of 4

Job Summary

A company is looking for a Coding Escalation Specialist to manage complex coding issues and provide expert support to the medical coding team.

Key Responsibilities

• Review and resolve escalated coding issues from various stakeholders
• Analyze medical records to ensure accurate and compliant code assignment
• Educate and mentor coding staff on complex cases and updates to coding regulations

Required Qualifications

• 3-5 years of experience in medical coding, focusing on complex case review or quality assurance
• AAPC or AHIMA certification is required
• Expert knowledge of ICD-10-CM, CPT, and HCPCS coding systems
• Strong understanding of CMS regulations and payer-specific guidelines
• Experience with electronic health records (EHRs) and coding software systems