Coding Specialist

• Conduct prospective and retrospective chart audits for coding accuracy, documentation integrity, and regulatory compliance
• Assign ICD-10-CM, CPT, HCPCS, and modifier codes based on provider documentation and coding guidelines
• Validate HCC and Risk Adjustment diagnoses and identify documentation opportunities for accurate risk capture
• Identify coding, documentation, and compliance gaps and provide actionable feedback
• Perform coding audits, track findings and trends, and support corrective actions
• Deliver provider and staff education on documentation standards, coding requirements, compliance guidelines, and risk adjustment
• Support clean claim submission, denial prevention, revenue optimization, and resolution of coding-related billing issues
• Collaborate with Revenue Cycle, Quality, Clinical Operations, and provider teams
• Assist with audit readiness and maintain compliance with CMS, payer, HIPAA, and organizational requirements
• Contribute to process improvement initiatives that strengthen coding quality, reimbursement accuracy, and revenue cycle performance

Explore Coding, Revenue Integrity Specialist at Astrana Health. Review requirements and application details.