Senior Coding Specialist

Center for Primary Care

Who we are:

For over 30 years the Center for Primary Care (CPC) has cared for families in the CSRA by providing patients with the most convenient, accessible, and personal healthcare available. Our mission is to improve the health and wellbeing of the families we serve by providing compassionate and high-quality care in a joyful setting. The physicians, healthcare professionals, and support team at our 10 practices, plus laboratory, imaging, and corporate locations work to transform our mission into action.

What our employees say:

At Center for Primary Care, we understand that the work environment is as important as the hard work you do. Center for Primary Care is Great Place to Work Certified which means our employees share feedback on their work culture experiences and we listen and strive to create positive employee experiences centered on joy, trust, and belonging.

Learn more about CPC’s culture and Great Place to Work Certification by clicking on the link below: Working at Center for Primary Care | Great Place To Work®

Benefits for you and your family:

Coverage that cares for body, mind, and spirit.

Retirement plan with generous employer match and profit sharing.

Mental Health Support Services.

PTO and Paid Parental Leave.

Scheduled Bonuses.

Senior Coding Specialist

The Senior Coding Specialist supports the Central Billing Office (CBO) by ensuring accurate, compliant, and optimized medical coding across the organization. This role serves as a subject matter expert in coding guidelines, documentation requirements, and regulatory compliance, working collaboratively with providers, clinical staff, and billing personnel to enhance revenue cycle performance and documentation integrity.

The Senior Coding Specialist is also expected to play a key role in adopting and optimizing new technologies, including AI-enabled coding tools and workflow automation, to improve efficiency, accuracy, and scalability within the revenue cycle.

Key Responsibilities:

Essential Functions

• Culture Champion: Encourages, motivates, and models engagement with assigned duties in a manner that aligns with CPC’s Mission, especially to “serve joyfully”.
• Customer/Patient Supporter: Supports a positive patient experience by ensuring coding accuracy that results in appropriate billing outcomes. Assists in resolving patient and payer inquiries related to coding with professionalism and clarity.
• Coding Professional: Reviews and assigns accurate diagnosis, CPT, and HCPCS codes based on provider documentation. Ensures compliance with all regulatory, payer, and organizational coding guidelines. Identifies coding errors, discrepancies, and opportunities for improved documentation. Supports clean claim submission by collaborating with billing staff.
• Technology & Innovation Champion: Actively supports implementation and optimization of new technologies, including AI-assisted coding tools and automation platforms. Evaluates coding workflows for opportunities to improve accuracy and efficiency through technology. Serves as a resource for adoption of new systems/tools.
• Clinical Documentation Integrity Support: Works closely with providers and clinical teams to improve documentation accuracy and completeness; Provides education and feedback to support appropriate code selection and compliance.
• Denial & Audit Specialist: Reviews coding-related denials and recommends corrective actions; Participates in internal and external coding audits; Assists with audit responses and implementation of corrective action plans.
• Team Collaborator: Works closely with CBO colleagues, office managers, and clinical staff to ensure alignment between coding, billing, and clinical documentation processes.
• Continuous Learner: Maintains up-to-date knowledge of coding guidelines, payer policies, regulatory changes, and emerging technologies. Actively participates in continuing education and applies learning to improve outcomes. Seeks to keep current with billing and coding best practices, AthenaOne updates, and regulatory requirements. Applies learning and growth for the good of the team.
• Subject Matter Expert: Serves as a go-to for coding staff and providers for advanced coding questions, complex cases, and regulatory interpretation.
• Assists with a variety of special projects; performs related duties as required and other duties as assigned.

All essential functions must be performed. Reasonable accommodations may be made to enable individuals with qualified disabilities to perform the essential functions. The above information is intended to describe the general nature and level of work being performed by people assigned to this job. It is not intended to be an exhaustive list of responsibilities, duties and skills required of personnel so classified. Examples listed do not preclude the performance of other duties similar in nature or in level of complexity.

Qualifications for Success:

Education, License/Certification, and Experience Requirements

Education: High School Diploma or GED required. Certified Professional Coder (CPC) Certification required. CRC (Certified Risk Adjustment Coder) strongly preferred. Other related certifications (e.g. CCS, CPMA) are preferred. AthenaOne system training or superuser certification strongly preferred.

Experience: At least five (5) years of physician office billing experience required. Experience with AthenaOne strongly preferred. Exposure to and involvement with coding automation tools, medical coding software, and/or AI-based coding platforms strongly preferred. Experience in outpatient medical settings, especially primary care, is a plus.

• Eager and able to demonstrate a commitment to CPC’s mission, especially to “serve joyfully”
• Strong knowledge of ICD-10-CM, CPT, and HCPCS coding systems
• In-depth understanding of E/M, injections, and lab coding guidelines and documentation standards
• Familiarity with payer policies, compliance regulations, and audit processes
• Proficient in AthenaOne or similar EHR and coding tools
• Passionate about technology and efficiency, including AI-assisted coding tools and workflow automation
• Strong analytical and problem-solving skills
• Excellent communication skills, both verbal and written
• Detail-oriented, organized, and able to manage multiple tasks efficiently
• Ability to educate and influence providers and staff constructively
• Willingness to work collaboratively and support team goals

Additional Job Details:

Work Setting: On-site

Job Type: Full-Time

Schedule: Monday-Friday

Compensation: Market competitive base pay, commensurate with education and experience.