Coder

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