Senior Coding Specialist

Join TriHealth as a Senior Coding Specialist! At TriHealth, you’ll join a mission‑driven organization that values expertise, collaboration, and professional growth. Our coding professionals play a vital role in supporting high‑quality patient care, and we empower them with the tools, trust, and autonomy needed to excel. In this role, you’ll apply your advanced ICD‑10‑CM and CPT knowledge to ensure accuracy, compliance, and optimal reimbursement - while working alongside a supportive team that relies on your insight as a subject matter expert. TriHealth’s culture is built on respect, integrity, and our ALWAYS behaviors, creating an environment where your contributions are recognized and your voice truly matters. As part of our team, you’ll enjoy the flexibility of remote work, the opportunity to mentor others, and the chance to grow your skills across multiple specialties. TriHealth invests in your success with strong leadership support, streamlined workflows, and a commitment to continuous improvement. If you’re looking for a place where your expertise is valued, your work has impact, and your career can thrive, TriHealth is a place you can be proud to call home. Apply today and grow your career with a team that truly values you. Location: Works at Home Work Schedule: Full-Time (80 hours biweekly) Day Shift No Weekend, Holiday or On Call Commitment Incentives & Benefits: TriHealth offers a comprehensive benefits package - including medical, dental, vision, paid time off, retirement plans, and tuition reimbursement. Please view our benefits page https://careers.trihealth.com/what-we-offer/benefits Job Requirements: Bachelor’s Degree or GED (Required) 3 - 4 years’ experience in a related field, concentration in professional auditing or coding (Required) Other Certified Pension Consultant (CPC) Required and Other RHIA - Registered Health Information Administrator Required and Other RHIT - Registered Health Information Technician Required and Other CCA - Certified Coding Associate and CCS-P and any applicable dual certification Required Job Overview: Abstract codes and assigns both ICD-10-CM and CPT codes provide documentation based on official coding guidelines and regulations provided by government and insurance carriers. Provides coding expertise to outside departments to assist in proper coding and billing. Accounts for coding and abstracting of patient encounters, including diagnostic and procedural information, significant reportable elements, and complications. Analyzes medical records and identifies documentation deficiencies. Serves as resource and subject matter expert to other coding staff. Job Responsibilities: Abstracts ICD-10-CM and CPT codes for services reported based on clinical documentation to ensure proper sequencing of codes for maximum accuracy and reimbursement. Identifies discrepancies, potential quality of care, and billing issues. Researches, analyzes, recommends, and facilitates plan of action to correct discrepancies and prevent future coding errors. Identifies reportable elements, complications, and other procedures. Maintains close working relationships with all departments and consolidates efforts to ensure appropriate and standardized coding and billing procedures are followed and exemplifies the ALWAYS behaviors. Responsible for mentoring staff in one or more specialty areas and maintain a dual certification. Supports all coding staff in the resolution of coding/billing questions from both internal and external customers, this includes the ability to research compliance standards and payer required guidelines. Supports coding leads, supervisors, and management in resolving and escalating coding issues that arise within the RCM and provides information to support coding education staff to validate accuracy and precision of the coding process. Use strong verbal and written communication skills. Ability to work in a remote location with little to no supervision. Other Related Information: Serves as resource and subject matter expert to other coding staff. Assists lead or supervisor in orienting, training, and mentoring staff. Cross coverage of two or more specialties based on business need. Expert knowledge of ICD-10-CM and CPT coding. Expert knowledge and understanding of anatomy, physiology, medical terminology, and pathophysiology (disease process, surgical terminology and pharmacology) and can apply these sciences to accurately assign codes to complex cases. Expert knowledge of coding workflow and optimization of technology including how to navigate in the electronic health information record and in health information management and billing systems. Ability to work with a high degree of accuracy and give attention to detail of the repetitive nature. Ability to work independently, takes initiative, and work collaboratively with others. Ability to audit and score Evaluation and Management Services. Ability to meet deadlines while working in a fast-paced environment, and to exercise independent judgment. Able to work independently in a remote setting, with little supervision. Maintains and exceeds departmental coding quality and productivity standards on a rolling calendar year. Working Conditions: Climbing - Rarely Concentrating - Consistently Continuous Learning - Consistently Hearing: Conversation - Consistently Hearing: Other Sounds - Frequently Interpersonal Communication - Consistently Kneeling - Rarely Lifting Apply To This Job