Healthcare Coding Specialist
1 day ago
The role of a Clinical Documentation Specialist is critical in the healthcare sector as they are responsible for scrutinizing clinical documentation and accurately assigning codes to ensure seamless claim submission and compliance with regulatory guidelines.
Key Responsibilities- Examine provider documentation for coding accuracy and completeness
- Assign or suggest appropriate ICD-10-CM and CPT codes in compliance with CMS and regulatory guidelines
- Communicate with providers for clarification when documentation is unclear or insufficient
- Identify documentation gaps, coding trends, and opportunities for provider education or process improvements
The ideal candidate combines strong coding expertise with sharp analytical and problem-solving skills. They must stay current with coding updates, payer policy changes, and specialty-specific coding rules.
Requirements- Certified Professional Coder (CPC) from AAPC (active status required)
- Minimum of 2 years' experience in medical coding for U.S.-based providers
- Strong knowledge of ICD-10-CM and CPT coding systems
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