Certified Medical Coding Specialist, Professional Based - BP - Full Time at SolutionHealth

, New Hampshire, United States -

Full Time

Start Date

Immediate

Expiry Date

21 Aug, 26

Salary

0.0

Posted On

24 May, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

ICD-10-CM, CPT, HCPCS, Medical Coding, Epic, Medical Terminology, Anatomy, Physiology, Regulatory Compliance, Professional Billing, Claim Edit Resolution, Provider Querying, E/M Services, Modifier Usage, Analytical Thinking, Communication Skills

Industry

Hospitals and Health Care

Description

Come work at the best place to give and receive care! Job Description: Who We Are Southern New Hampshire Health has been a cornerstone of the region since 1893, delivering high-quality, compassionate care close to home. Anchored by Southern New Hampshire Medical Center—a 188-bed, DNV-accredited hospital in downtown Nashua with a Level III-N trauma center, Level II Special Care Nursery, and Magnet® designation for nursing excellence—we offer a full spectrum of services from primary care to advanced diagnostics and specialized treatments. Our medical staff includes over 500 providers from Foundation Medical Partners and local practices. Foundation Medical Partners, our multi-specialty group, spans 70+ practices across southern New Hampshire and northern Massachusetts, providing coordinated, patient-centered care to thousands each year. About the Job The Coding Specialist – Professional Based (PB) is responsible for analyzing professional (physician and advanced practice provider) encounters and related documentation to assign accurate ICD-10-CM, CPT, and HCPCS codes. This role ensures compliance with current coding guidelines, regulatory requirements, and payer-specific rules while supporting timely and compliant coding to optimize reimbursement and minimize denials. The Coding Specialist PB collaborates closely with providers, clinical staff, and revenue cycle partners and issues queries as needed to ensure documentation supports accurate code assignment. What You’ll Do Review and analyze professional medical records, including office visits, hospital-based professional services, and outpatient encounters Assign accurate ICD-10-CM, CPT, and HCPCS codes Apply appropriate CPT modifiers, units, place of service indicators, and payer-specific billing rules Abstract and enter coded data into Epic and other professional billing and coding systems Ensure compliance with official coding guidelines, regulatory requirements, payer policies, and organizational standards Maintain a minimum coding accuracy rate of 95% and meet established productivity benchmarks Review, investigate, and resolve claim edits and coding-related errors Validate provider documentation and query providers for clarification or additional detail when needed Serve as a subject matter expert for professional coding, including E/M services, procedure coding, and modifier usage Collaborate with providers, clinical staff, educators, and revenue cycle teams to resolve coding and documentation issues Monitor and communicate coding and documentation trends impacting professional billing and compliance Stay current on coding updates, regulatory changes, and professional billing requirements Participate in audits, education, training, and continuous improvement initiatives Perform other duties as assigned Who You Are / Requirements Education High School diploma or equivalent required Associate degree in Health Information Management or a closely related field preferred Certification (Required at Time of Hire) Certified Coding Specialist (CCS), or Certified Professional Coder (CPC), or Certified Coding Specialist – Physician-Based (CCS-P) Additional HIM certifications (RHIT, RHIA) preferred Experience Minimum of two (2) years of professional coding experience in a multispecialty physician setting Experience with ICD-10-CM, CPT, and HCPCS coding systems Knowledge & Skills Knowledge of professional coding guidelines and compliant coding practices Knowledge of medical terminology, anatomy, physiology, and regulatory compliance (CMS, HIPAA) Proficiency with Epic and coding/encoder software preferred Strong analytical, problem-solving, written, and verbal communication skills Why You’ll Love Us Southern NH Medical Center is a 5-time Magnet designated hospital Health, dental, prescription, and vision coverage for full-time & part-time employees Medical, dental, and vision coverage Life insurance Short- and long-term disability Flexible Spending Accounts (FSA) Competitive pay Tuition Reimbursement Nursing Student Loan Paydown Program 403(b) Retirement Savings Plan Education & Paid training courses for continued career progression & So much more! Work Shift: Full Time | 40 hours/week | Monday thru Friday | Remote SolutionHealth is an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, disability status, veteran status, or any other characteristic protected by law. SolutionHealth is an integrated health system uniquely focused on providing access to high-value primary and specialty care that meets the growing needs of the communities we serve. Together, Southern New Hampshire Health and Elliot Health System, the founding members of SolutionHealth, are committed to innovative models of care and collaboration that improve the health and well-being of more than half of million residents of our region. We start with committing to do the right thing, for each patient, always.

Responsibilities

Analyze professional medical records to assign accurate ICD-10-CM, CPT, and HCPCS codes while ensuring compliance with regulatory guidelines. Collaborate with providers and revenue cycle partners to resolve documentation issues and optimize reimbursement.