Certified Medical Coding Specialist, Professional Based - PB - Full Time

Come work at the best place to give and receive care!

​Job Description: 
Who We Are
Southern New Hampshire Health has been a cornerstone of the region since 1893, delivering high-quality, compassionate care close to home. Anchored by Southern New Hampshire Medical Center—a 188-bed, DNV-accredited hospital in downtown Nashua with a Level III-N trauma center, Level II Special Care Nursery, and Magnet® designation for nursing excellence—we offer a full spectrum of services from primary care to advanced diagnostics and specialized treatments. Our medical staff includes over 500 providers from Foundation Medical Partners and local practices.

Foundation Medical Partners, our multi-specialty group, spans 70+ practices across southern New Hampshire and northern Massachusetts, providing coordinated, patient-centered care to thousands each year.

About the Job
The Coding Specialist – Professional Based (PB) is responsible for analyzing professional (physician and advanced practice provider) encounters and related documentation to assign accurate ICD-10-CM, CPT, and HCPCS codes. This role ensures compliance with current coding guidelines, regulatory requirements, and payer-specific rules while supporting timely and compliant coding to optimize reimbursement and minimize denials. The Coding Specialist PB collaborates closely with providers, clinical staff, and revenue cycle partners and issues queries as needed to ensure documentation supports accurate code assignment.

What You’ll Do
Review and analyze professional medical records, including office visits, hospital-based professional services, and outpatient encounters

Assign accurate ICD-10-CM, CPT, and HCPCS codes

Apply appropriate CPT modifiers, units, place of service indicators, and payer-specific billing rules

Abstract and enter coded data into Epic and other professional billing and coding systems

Ensure compliance with official coding guidelines, regulatory requirements, payer policies, and organizational standards

Maintain a minimum coding accuracy rate of 95% and meet established productivity benchmarks

Review, investigate, and resolve claim edits and coding-related errors

Validate provider documentation and query providers for clarification or additional detail when needed

Serve as a subject matter expert for professional coding, including E/M services, procedure coding, and modifier usage

Collaborate with providers, clinical staff, educators, and revenue cycle teams to resolve coding and documentation issues

Monitor and communicate coding and documentation trends impacting professional billing and compliance

Stay current on coding updates, regulatory changes, and professional billing requirements

Participate in audits, education, training, and continuous improvement initiatives

Perform other duties as assigned

Who You Are / Requirements
Education
High School diploma or equivalent required

Associate degree in Health Information Management or a closely related field preferred

Certification (Required at Time of Hire)
Certified Coding Specialist (CCS), or

Certified Professional Coder (CPC), or

Certified Coding Specialist – Physician-Based (CCS-P)

Additional HIM certifications (RHIT, RHIA) preferred

Experience
Minimum of two (2) years of professional coding experience in a multispecialty physician setting

Experience with ICD-10-CM, CPT, and HCPCS coding systems

Knowledge & Skills
Knowledge of professional coding guidelines and compliant coding practices

Knowledge of medical terminology, anatomy, physiology, and regulatory compliance (CMS, HIPAA)

Proficiency with Epic and coding/encoder software preferred

Strong analytical, problem-solving, written, and verbal communication skills

Why You’ll Love Us
Southern NH Medical Center is a 5-time Magnet designated hospital

Health, dental, prescription, and vision coverage for full-time & part-time employees

Medical, dental, and vision coverage

Life insurance

Short- and long-term disability

Flexible Spending Accounts (FSA)

Competitive pay

Tuition Reimbursement

Nursing Student Loan Paydown Program

403(b) Retirement Savings Plan

Education & Paid training courses for continued career progression

& So much more!

Work Shift: 
Full Time | 40 hours/week | Monday thru Friday | Remote

SolutionHealth is an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, disability status, veteran status, or any other characteristic protected by law.