Job Description:
• Accurately assign CPT, ICD-10-CM, and HCPCS codes to medical records documentation for professional services, ensuring compliance with all regulatory guidelines and internal policies.
• Review and verify documentation to ensure all services rendered are supported and coded to the highest level of specificity.
• Identify and correct coding discrepancies and ensure timely and accurate claim submission.
• Serve as a coding resource and provide education to providers and clinical staff on documentation requirements, coding guidelines, and regulatory changes to promote coding accuracy.
• Conduct regular audits of medical records and coded data to monitor quality and compliance.
• Assist in the development and maintenance of coding policies and procedures.
• Stay current with changes in coding guidelines, payer requirements, and regulatory updates (e.g., CMS, AMA).
• Collaborate with the billing team to resolve coding-related denials and improve clean claim rates.
Requirements:
• Current certification as a Certified Professional Coder (CPC) from the American Academy of Professional Coders (AAPC).
• Minimum of three (3) years of experience as a Certified Professional Coder in a professional fee setting.
• Strong knowledge of medical terminology, anatomy, physiology, and pathology.
• Expert proficiency in CPT, ICD-10-CM, and HCPCS coding systems.
• Deep understanding of compliance, regulatory, and payer requirements affecting coding and billing.
• Excellent analytical, organizational, and problem-solving skills.
• Proficiency with Electronic Health Records (EHR) and billing software.
Benefits:
• Comprehensive benefits package including health, dental, and vision insurance.
• Paid time off and company holidays.
• Collaborative and supportive work environment.
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