Coding Reimbursement Specialist II
Tryon Medical Partners
Job Summary
The Coding Reimbursement Specialist II is responsible for reviewing physician documentation, assigning CPT and ICD-10 codes, ensuring coding accuracy, and supporting medical billing and reimbursement activities. This low-phone healthcare role focuses on coding compliance, documentation review, charge entry, reimbursement support, and physician billing operations.
Job Description
The Coding Reimbursement Specialist II supports physician billing and reimbursement operations by reviewing clinical documentation, assigning medical codes, and ensuring accurate claim submission. This full-time remote position focuses on coding compliance, physician charge review, documentation analysis, reimbursement support, and healthcare billing accuracy.
This Remote Coding Reimbursement Specialist II role fits best as a low-phone healthcare position. Team members spend most of their day reviewing physician documentation, assigning CPT and ICD-10 codes, validating charge information, and ensuring compliance with coding guidelines. Communication with physicians and reimbursement teams occurs when clarification is necessary, but the role does not involve high-volume customer service calls.
Daily responsibilities include reviewing progress notes, operative reports, discharge summaries, and physician documentation to determine appropriate coding assignments. Specialists enter CPT codes, ICD-10 diagnoses, and modifiers into billing systems while ensuring compliance with payer requirements, coding guidelines, and regulatory standards.
The position also requires reviewing patient logs, monitoring billing capture activities, supporting reimbursement inquiries, and communicating with physicians through established query processes when documentation clarification is needed. Team members help ensure complete and accurate billing while supporting reimbursement integrity and regulatory compliance.
Candidates should possess strong knowledge of CPT coding, ICD-10 coding, HCPCS coding, medical terminology, anatomy, physiology, reimbursement processes, and healthcare documentation standards. Knowledge of payer-specific billing requirements, bundling rules, modifiers, NCDs, LCDs, and regulatory guidelines is essential for success in this position.
The ideal candidate has at least three years of physician coding experience and maintains an active coding certification. Experience within Family Practice, Internal Medicine, Cardiology, Rheumatology, Endocrinology, Gynecology, or Dermatology may provide additional advantages.
Overall, this position is ideal for experienced medical coding professionals who enjoy documentation review, coding accuracy, reimbursement support, regulatory compliance, and healthcare billing operations while working in a remote environment.