Position Details

Salary $29 – $38 USD / year

Type Full-Time

Experience mid

Exp. Years 3+ years

Education High School Diploma; Associates Degree in Health Information Management preferred.

Category Healthcare & Medical

About this role

The Professional CDI Specialist role focuses on compliant physician coding, coding audits, and physician education to ensure accurate diagnosis and procedure coding for proper reimbursement, while complying with industry guidelines and Capital Health policies.

Key Responsibilities

Audits medical record documentation for accurate diagnosis, current procedural terminology, and evaluation and management codes
Provides ongoing education to physicians on documentation requirements for accurate code assignments
Reviews and responds to denials and requests for records
Performs internal quality assessment reviews for physician (professional) coding to ensure compliance with national coding guidelines
Maintains level of expertise through continuing education and productivity

Technical Overview

Role centered on physician coding (ICD-9/10, CPT, HCPCS) and audits, with routine use of Microsoft Office for documentation and reporting; involves education and process improvement.

Ideal Candidate

The ideal candidate is a mid-level medical coder with 3+ years of physician coding experience, CPC or CCS-P credentials, and strong knowledge of ICD-9/10, CPT, and HCPCS. They should excel at physician education, audits, and communicating complex guidelines to ensure accurate documentation and reimbursement.

Must-Have Skills

Certified Professional Coder (CPC)Certified Coding Specialist-Physician-based (CCS-P)Outpatient ICD-9/10CPTHCPCSMicrosoft Office

Nice-to-Have Skills

Associates degree in Health Information Management preferredMedical TerminologyAnatomy and PhysiologyPathophysiology knowledge

Tools & Platforms

Microsoft Office

Required Skills

CPCCCS-PICD-9/10CPTHCPCSCMS guidelinesphysician educationauditingMicrosoft Office

Hard Skills

CPCCertified Professional CoderCCS-PCertified Coding Specialist-Physician-basedICD-9/10CPTHCPCSCMSMicrosoft OfficeOutlookWordExcelPowerPointAccessAuditingPhysician coding

Soft Skills

Excellent verbal and written communicationAnalytical thinkingAttention to detailAbility to learnTeam collaborationProblem solvingTime management

Certifications

Required

Certified Professional Coder (CPC)Certified Coding Specialist-Physician-based (CCS-P)

Industry & Role

Industry Healthcare & Medical

Job Function Facilitate compliant physician coding and education to support accurate code assignments and reimbursement

Role Subtype Medical Coder

Keywords for Your Resume

professional cdi specialistphysician codingcpcccs-pcertified professional codercertified coding specialist-physician-basedicd-9/10cpthcpcscmsauditingphysician educationcoding educationmicrosoft officeoutlookwordexcelpowerpointaccessdenialsreimbursement guidelinesmedical terminologypathophysiologyCertified Professional CoderCCS-PCPCICD-9/10CPTHCPCSMicrosoft Office

Deal Breakers

must have CPC or CCS-P, less than 3 years physician coding experience, no outpatient ICD-9/10 experience, no MS Office proficiency

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