- Code Patient Records: Review and assign appropriate ICD-10 and CPT codes to diagnoses, procedures, and services documented in patient medical records.
- Ensure Accuracy and Compliance: Ensure accurate coding in compliance with federal regulations, insurance policies, and medical center guidelines to support billing and reimbursement processes.
- Medical Record Review: Review medical records to confirm the completeness, accuracy, and consistency of patient information and coding details.
- Collaboration with Medical Staff: Work closely with physicians, nurses, and other healthcare professionals to clarify any discrepancies or missing information in patient records.
- Billing Support: Collaborate with the billing department to ensure timely and accurate submission of claims to insurance providers, ensuring proper reimbursement.
- Maintain Coding Standards: Stay updated with changes in coding guidelines, regulatory requirements, and industry standards, including ICD-10 and CPT updates.
- Data Entry: Accurately input codes into the electronic Medical record (EMR) or coding software, ensuring that all codes are assigned correctly and promptly.
- Audit and Quality Assurance: Participate in regular audits of coding to ensure accuracy and compliance, and address any errors or issues identified.
- Documentation: Ensure that all coding activities are properly documented, including the reasons for any coding decisions, in accordance with privacy and compliance guidelines.
- Confidentiality: Maintain patient confidentiality and adhere to DOH guidelines to protect patient privacy.
Education: Bachelor's, diploma or equivalent required; completion of a formal Medical Coding training program or certification is preferred.
- Certifications: Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) preferred.
- Experience: Minimum of 1 year of experience in medical coding, preferably in a hospital or healthcare setting is an advantage
- Knowledge: Strong knowledge of ICD-10, CPT, coding, and medical terminology.
- Communication Skills: Strong written and verbal communication skills for interacting with medical staff, patients, and insurance providers.
- Organizational Skills: Ability to manage multiple tasks simultaneously and work efficiently in a fast-paced environment.
Job Type: Full-time