Pro Fee Coding Specialist
Core
Reviews medical documentation to add, correct, or verify diagnosis and procedure codes for billing and compliance.
Role type
Health Information Management Coding Specialist
Builds
Accurate medical claims and billing submissions
Domain
Healthcare administration / Medical coding
Deliverable
production ML models | product features | dashboards & analysis | research | client delivery | infrastructure | physical/clinical work
Required skills
Medical record review, ICD-10/CPT coding standards, claim denial resolution, charge correction, regulatory compliance knowledge, Microsoft 365 proficiency
Preferred skills
Anatomy and physiology knowledge, disease pathology understanding, 2 years related experience
Technologies
Microsoft 365, medical coding software
Responsibilities
Codes diagnoses and procedures from medical records; resolves claim denials and performs charge corrections; develops preventative measures for denial patterns; advises providers on documentation and billing policies; educates staff on coding regulations; collaborates with billing and quality departments.
Seniority
Entry-level to Junior