Medical Coding Documentation Specialist Full-time Job

The Medical Coding Documentation Specialist ensures that medical documentation supports accurate coding and billing. This role involves reviewing medical records, identifying documentation gaps, and providing recommendations for improvement. Key responsibilities include working with healthcare providers to enhance documentation practices, ensuring compliance with coding guidelines, and developing documentation policies and procedures. The specialist also conducts training on proper documentation practices and prepares documentation audits. Strong attention to detail, knowledge of coding standards, and expertise in medical documentation are essential. A degree in health information management or a related field, along with coding certification (e.g., CPC, CCS), is required. Experience in documentation review and medical coding is preferred.