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Paradise plus poly clinic

OverviewParadise Plus Polyclinic is seeking a detail-oriented and experienced Medical Coder to join our healthcare team. In this role, you will not only ensure accurate translation of medical documentation into standardized codes but also take a proactive role in the claim submission process, including resubmissions and denial management to optimize revenue cycle efficiency.Key Responsibilities<ul><li>Medical Record Analysis:</li></ul>Review patient charts and documentation to assign the appropriate diagnostic (ICD-10) and procedural (CPT/HCPCS) codes.<ul><li>Compliance:</li></ul>Ensure that coding practices adhere to national, state, and local regulations as well as payer requirements.<ul><li>Collaboration:</li></ul>Work closely with physicians, billing departments, and other healthcare professionals to resolve any discrepancies in medical documentation.<ul><li>Auditing:</li></ul>Regularly audit records for accuracy and completeness, making corrections as needed.<ul><li>Documentation:</li></ul>Maintain confidentiality of patient records and ensure that all coding data is accurately documented in the clinic&rsquo;s electronic health record (EHR) system.<ul><li>Claim Submission:</li></ul>Prepare and submit claims to insurance companies accurately and in a timely manner, ensuring that all information complies with coding and billing guidelines.<ul><li>Claim Resubmission:</li></ul>Handle the resubmission of claims when initial submissions are rejected or require additional information, working to minimize delays in reimbursement.<ul><li>Denial Management:</li></ul>Review, investigate, and manage claim denials by identifying the root causes, appealing decisions when necessary, and collaborating with payers to resolve issues.<ul><li>Continuous Improvement:</li></ul>Stay updated on evolving coding guidelines and changes in medical terminology, and actively participate in ongoing training or certification programs.Qualifications<ul><li>Certification:</li></ul>Must hold a valid medical coding certification (e.g., CPC, CCS, or similar).<ul><li>Experience:</li></ul>A minimum of 1&ndash;2 years of experience in a medical coding role, preferably in a clinical or hospital setting, with exposure to claims processing and denial management.<ul><li>Technical Skills:</li></ul>Proficiency in using electronic health records (EHR) systems and coding software.<ul><li>Knowledge:</li></ul>In-depth understanding of ICD-10, CPT, and HCPCS coding systems along with familiarity with medical terminology.<ul><li>Communication:</li></ul>Excellent written and verbal communication skills, with the ability to work collaboratively within a multidisciplinary team.<ul><li>Attention to Detail:</li></ul>High level of accuracy and attention to detail in coding, documentation, and claims processing.What We Offer<ul><li>Competitive Salary:</li></ul>A compensation package that reflects the candidate's experience and skills.<ul><li>Work Environment:</li></ul>A supportive and collaborative team environment within a reputable polyclinic.Job Type: Full-timeWork Location: In person

Medical Coder 2 Years Experience

Join Paradise plus poly clinic and explore 1   exciting career opportunities. They're hiring for various roles with options for remote or on-site work. Apply today and become part of their innovative team.

Paradise plus poly clinic

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Medical Coder 2 Years Experience