Medical Coding Specialist

Ensemble Health Partners

. Review medical record documentation and accurately assign ICD-9-CM, ICD-10-CM, ICD-10-PCS, CPT IV, and HCPCS codes .

Posted 11/2/2026full-timeUnited StatesJunior💰 $20 - $25 per hourWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in medical coding, including ICD-9-CM, ICD-10-CM, CPT IV, and HCPCS, while ensuring compliance with billing guidelines and maintaining productivity standards. Proficient in utilizing coding software and tools to support accurate claims processing and data abstraction.

Highest-signal resume keywords

ICD-10-CM CodingCPT IV CodingAAPC Coding Certification3M Encoder ExperienceMedical Necessity Checks

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

ICD-9-CM CodingICD-10-PCS CodingCPT IV CodingHCPCS CodingData AbstractionClaims ProcessingCoding Guidelines ApplicationProductivity Standards MaintenanceMedical Record Documentation ReviewPro-Fee Specialties Experience

Soft Skills

Excellent OrganizationCommunication SkillsTime ManagementTroubleshooting SkillsProblem-Solving Skills

Tools & Technologies

3M 360 CACEPICMedical Necessity SoftwareAbstracting SystemsMicrosoft ExcelMicrosoft WordMicrosoft PowerPoint

Certifications & Qualifications

CPC-ACPCCCACCS

Industry Keywords

Medical CodingOutpatient ClaimsCMS GuidelinesNCDLCDModifier CodingBilling ComplianceHealthcare DocumentationCoding Software ToolsPro-Fee Specialties

About the role

Key responsibilities & impact

Review medical record documentation and accurately assign ICD-9-CM, ICD-10-CM, ICD-10-PCS, CPT IV, and HCPCS codes
Code outpatient visits including ancillary, urgent care, emergency department, observation, same-day surgery, and interventional procedures
Abstract required data according to facility specifications
Perform medical necessity checks for Medicare and other payers
Monitor and work discharged-not-final-billed accounts, failed claims, stop bills, and epremis as a team
Process outpatient claims in the billing system in a timely and compliant manner
Maintain productivity, KPI, and quality standards for 3M 360 CAC for CRS and Direct Code
Apply CMS, NCD, LCD, modifier, coding, and billing guidelines to support clean claims
Use 3M encoder, CAC, medical necessity software, abstracting systems, code books, and reference materials
Report coding software inaccuracies and potential unethical or fraudulent activity
Attend required meetings and educational sessions and complete annual learning programs

Requirements

What you’ll need

1 year of previous coding experience
Experience in multiple pro-fee specialties: HemOnc/Interventional Radiology, Ortho, Allergy/ENT, OBGYN, Cardio, General Surgery, Pediatric General Surgery & Pulmonology
PC and computer application knowledge and experience
Basic functional expertise in Microsoft Excel, Word, and PowerPoint
Experience with EPIC and coding software tools
AAPC or AHIMA Coding Certification: CPC-A, CPC, CCA or CCS
High School Diploma or GED
Excellent organization, communication, time management, troubleshooting, and problem-solving skills
Ability to multitask and prioritize needs to meet short- and long-term timelines
Openness to innovation, including AI
Must reside and be authorized to work within the United States
Must be willing and able to travel to and work onsite at client, temporary, or corporate office locations as business needs require

Benefits

Comp & perks

Bonus Incentives
Paid Certifications
Tuition Reimbursement
Comprehensive benefits package including healthcare, time off, retirement, and well-being programs
Professional development and relevant professional certification
Quarterly and annual incentive programs
Work-life flexibility
Career advancement opportunities