Description
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Review medical records and provider documentation for completeness and accuracy.
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Assign accurate ICD-10, CPT and other applicable codes based on documentation and coding guidelines.
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Ensure coding compliance with federal regulations, payer policies, and industry standards.
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Query providers for clarification when documentation is insufficient or ambiguous.
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Collaborate with billing and clinical teams to resolve coding issues and reduce denials.
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Maintain up-to-date knowledge of coding changes, industry updates, and payer requirements.
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Support audits by preparing coding reports and participating in chart reviews when necessary.
Protect patient confidentiality and ensure HIPAA compliance at all times.
Requirements
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High school diploma or equivalent required; associate’s or bachelor’s degree preferred.
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Minimum of 1 year minimum of coding experience in a clinical, hospital, or specialty practice setting.
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Proficiency in medical terminology, anatomy, and physiology.
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Strong knowledge of ICD-10 & CPT coding systems.
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Experience with EHR systems and medical billing software
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Excellent attention to detail and analytical skills.
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Strong written and verbal communication abilities.
Ability to work independently and manage multiple priorities.