Certified Medical Coding Specialist, Professional Based - BP - Full Time
Apply Job ID JR12108 Date posted 05/23/2026Who 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