
Healthcare Coding Expert
2 weeks ago
As a key member of our team, you will play a pivotal role in ensuring accurate and compliant coding for healthcare providers.
This includes reviewing clinical documentation, assigning ICD-10-CM and CPT codes, and communicating with providers to clarify any documentation gaps.
Responsibilities:
- Review and audit provider documentation for coding accuracy and completeness
- Assign or suggest appropriate ICD-10-CM and CPT codes in compliance with CMS and payer 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
- Collaborate with billing staff and team leads to resolve coding-related issues
To succeed in this role, you must have a strong understanding of medical terminology, anatomy, and physiology, as well as experience with EMR/EHR systems.
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
- Familiarity with U.S. payer guidelines, NCCI edits, and CMS rules
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