
Medical Coding and Billing Specialist
2 days ago
Job Summary:
We are seeking a skilled Medical Coding Specialist to join our team. As a Certified Medical Biller and Coder, you will play a critical role in ensuring accurate and timely submission of medical claims.
This is an opportunity to make a significant impact on our organization's financial operations and the quality of service we provide to our clients.
Key Responsibilities:- Analyze and abstract medical information from patient records for physician/NP visits and home health start-of-care visits.
- Accurately code diagnostic and procedural information in compliance with ICD-10, Home Health PDGM, CPT-4, HCPCS, MS-DRGs, APCs, and POAs, following national coding guidelines.
- Document essential patient information, including medication history, medical history, active diagnoses, and preventive care screens.
- Consult with medical providers to identify potential missing HCC diagnoses and ensure accurate documentation and code assignment.
- Review claims data to verify accurate coding and billing for all services and procedures.
- Collaborate with healthcare professionals to improve documentation, coding accuracy, and compliance.
- Stay current with changes in coding regulations and provide education and training as needed.
- Participate in Quality Assurance/Quality Improvement initiatives.
- Background in a medical field.
- Proficient in the English language, both written and verbal.
- Certification as a Certified Professional Coder (CPC) or Certified Coding Specialist-Physician (CCS-P) from AAPC or AHIMA (preferred).
- At least 2 years of experience in medical coding and billing, with a focus on physician and home health coding.
- Knowledge of medical terminology, anatomy, physiology, coding systems, and guidelines.
- Strong analytical skills and attention to detail.
- Knowledge of regulatory requirements and compliance standards.
- Excellent communication skills and ability to collaborate with healthcare professionals.
- Proficiency with coding software, tools, and EHR systems.
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