Howard University Faculty Practice Plan Senior Coding Specialist
The Howard University Faculty Practice Plan Senior Coding Specialist is responsible for accurate and timely assignment of CPT, HCPCS, ICD-10-CM, and modifiers for professional services rendered across a multispecialty practice. This role ensures coding compliance with regulatory and payer-specific guidelines while optimizing reimbursement and minimizing denials. The Senior Coding Specialist serves as a subject matter expert and mentor to junior coders, and collaborates closely with clinical staff, billing teams, and revenue cycle leadership.
Principal Responsibilities
- Assign accurate and complete diagnosis and procedure codes for encounters across multiple specialties, including, but not limited to, pediatrics, OBGYN, orthopedics, dermatology, internal medicine, psychiatry, and surgical services
- Review clinical documentation for completeness and clarity, query providers when appropriate
- Ensure compliance with coding and billing regulations including CMS, CPT/ICD coding guidelines, and payer-specific rules
- Participate in internal audits and implement coding corrections or education as needed
- Monitor coding denials, identify root causes, and recommend corrective actions
- Serve as a coding resource and provide guidance or training to peers and revenue cycle team members
- Collaborate with clinical departments to clarify documentation and improve coding accuracy
- Maintain productivity and accuracy standards as defined by department goals
- Assist in the development and revision of internal coding policies, workflows, and education materials.
Core Competencies
- Strong analytical and problem-solving skills
- Detail-oriented with a high level of accuracy
- Effective written and verbal communication
- Ability to work independently and meet deadlines
- Comfortable navigating multiple EMR and billing platforms
Qualifications:
- High school diploma or GED
- 5+ years of professional coding experience in a multispecialty ambulatory or physician practice setting
- Active CPC, CCS-P, or equivalent certification from AAPC or AHIMA
- Strong knowledge of CPT, ICD-10-CM, HCPCS, and modifier usage
- Familiarity with EHR and PM systems, preferably Veradigm, Oracle Health EMR platforms
- Working knowledge of payer-specific billing guidelines and coding edits (CCI, MUEs, etc.)
Preferred
- Associate's degree in health information management, Health Sciences, or related field
- Experience with audit response and clinical documentation improvement initiatives
Compliance Salary Range Disclosure
Expected Pay Range: $53,000 to $57,000
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