Medical Coding Escalation Specialist

Job Summary

A company is looking for a Pro Fee E/M Coding Escalation Specialist.

Key Responsibilities

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

Required Qualifications, Training, and Education

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