Medical Coding Specialist

Mercyhealth Wisconsin and Illinois

Medical Coding Specialist reviewing provider documentation and performing coding audits. Collaborating with providers to ensure accurate coding and compliance with medical guidelines.

Posted 5/14/2026full-timeRemote • Illinois • 🇺🇸 United StatesJuniorMid-Level💰 $24 - $36 per hourWebsite

About the role

Key responsibilities & impact

Reviews, analyzes, and interprets provider documentation with regards to procedure and diagnosis code selection
Performs audits of provider coding and documentation to make recommendations for improvements and enhancements
Maintains a close working relationship with assigned providers and medical office, frequently querying the provider when coding discrepancies arise
Researches any coding inquiries the provider or medical staff may have, and presents findings to them
Reviews hospital, clinical, and surgical documentation and the assigned diagnosis and procedure codes, releasing charges within the Epic system
Identifies discrepancies between the provider code selection and the medical record documentation; makes appropriate corrections, and presents findings and education to the provider
Demonstrates extensive knowledge of official coding guidelines established by the American Medical Association (AMA), the Center for Medicare & Medicaid Services (CMS) and contracted payers
Works with billing partners in developing efficient coding processes and researching denials
Responds to customer concerns through coding reviews requested by other departments
Conducts provider coding orientation and education sessions and documents all information presented
Maintains an in-depth knowledge of Epic ambulatory and hospital modules
Works as a team to achieve productivity goals

Requirements

What you’ll need

High School graduate or equivalent
Two years of experience coding professional services in multiple specialties
Certified Professional Coder (CPC) or other equivalent coding certification required
Problem solving skills
Excellent written/oral/interpersonal/communication skills
Analytical skills

Benefits

Comp & perks

Medical
Dental
Vision
Life & Disability Insurance
FSA/HSA Options
Generous, accruing paid time off
Paid Parental and caregiver leave
Career advancement and educational opportunities
Tuition and certification reimbursement
Certification Reimbursement
Well-being Programs
Employee Discounts
On-Demand Pay
Financial Education
Annual recognition/awards events
Partner appreciation days
Family entertainment/attractions discount
Community service/improvement opportunities

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

procedure code selectiondiagnosis code selectionprovider codingcoding auditscoding discrepanciescoding inquiriesEpic systemcoding processescoding orientationcoding education

Soft Skills

problem solvingwritten communicationoral communicationinterpersonal skillsanalytical skills

Certifications

Certified Professional Coder (CPC)