Medical Coder 2 Years Experience

Overview

Paradise 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

• Medical Record Analysis:

Review patient charts and documentation to assign the appropriate diagnostic (ICD-10) and procedural (CPT/HCPCS) codes.

• Compliance:

Ensure that coding practices adhere to national, state, and local regulations as well as payer requirements.

• Collaboration:

Work closely with physicians, billing departments, and other healthcare professionals to resolve any discrepancies in medical documentation.

• Auditing:

Regularly audit records for accuracy and completeness, making corrections as needed.

• Documentation:

Maintain confidentiality of patient records and ensure that all coding data is accurately documented in the clinic’s electronic health record (EHR) system.

• Claim Submission:

Prepare and submit claims to insurance companies accurately and in a timely manner, ensuring that all information complies with coding and billing guidelines.

• Claim Resubmission:

Handle the resubmission of claims when initial submissions are rejected or require additional information, working to minimize delays in reimbursement.

• Denial Management:

Review, investigate, and manage claim denials by identifying the root causes, appealing decisions when necessary, and collaborating with payers to resolve issues.

• Continuous Improvement:

Stay updated on evolving coding guidelines and changes in medical terminology, and actively participate in ongoing training or certification programs.

Qualifications

• Certification:

Must hold a valid medical coding certification (e.g., CPC, CCS, or similar).

• Experience:

A minimum of 1–2 years of experience in a medical coding role, preferably in a clinical or hospital setting, with exposure to claims processing and denial management.

• Technical Skills:

Proficiency in using electronic health records (EHR) systems and coding software.

• Knowledge:

In-depth understanding of ICD-10, CPT, and HCPCS coding systems along with familiarity with medical terminology.

• Communication:

Excellent written and verbal communication skills, with the ability to work collaboratively within a multidisciplinary team.

• Attention to Detail:

High level of accuracy and attention to detail in coding, documentation, and claims processing.

What We Offer

• Competitive Salary:

A compensation package that reflects the candidate's experience and skills.

• Work Environment:

A supportive and collaborative team environment within a reputable polyclinic.

Job Type: Full-time

Application Deadline: 30/03/2025