Coding Escalation Specialist – Pro Fee Hospital

Role Overview

• Handle complex coding issues and resolve escalations
• Conduct thorough reviews of medical records and ensure accurate code assignment
• Serve as a liaison between coders, auditors, providers, and compliance teams
• Educate and mentor coding staff

Requirements

• Minimum 3-5 years of experience in medical coding
• AAPC or AHIMA certification required
• Expert-level 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

Benefits

• Performance-based incentive plan
• Referral bonus program