• Review and audit clinical records to ensure proper code assignment and compliance with payer policies. 
• Assist in identifying coding discrepancies and recommending appropriate resolutions. 
• Collaborate with providers and clinical teams to clarify documentation and coding requirements. 
• Stay up to date with coding guidelines, payer rules, and industry changes. 
• Provide front-line clinical support using structured scripts, protocols, and decision trees. 
• Use memorized scripts to deliver accurate information consistently. 
• Respond to inquiries related to procedures, coverage, documentation, and patient instructions. 
• Escalate complex clinical or documentation issues to leads or appropriate departments. 
• Participate in continuous training and development, including online learning modules. 

• Minimum of 2 years’ experience in medical coding and/or clinical support. 
• Familiarity with medical terminology and clinical workflows. 
• Strong verbal and written communication skills. 
• Proficient with EHR/EMR systems and digital documentation tools. 

Preferred/Plus: 

• CPC (Certified Professional Coder) 
• Certified Dental Coder (CDC) 
• CMC (Certified Medical Coder) 
• Experience in dental, medical, or multi-specialty coding. 
• Prior experience in a clinical call center or support environment.