Position Summary

Coding Accuracy: Review and analyze medical records to assign appropriate ICD-10, CPT, and HCPCS codes for diagnoses, procedures, and services.

Compliance: Ensure coding practices adhere to all relevant guidelines, including ICD-10-

CM/PCS, CPT, HCPCS, and payer-specific requirements.

Documentation: Verify the accuracy and completeness of documentation in medical records to support coding decisions.

Communication: Collaborate with healthcare providers and administrative staff to clarify documentation and coding queries.

Audits and Reviews: Conduct internal audits to ensure coding accuracy, compliance and assist with external audits as needed.

Education: Stay updated with the latest coding updates, regulations, and best practices. Provide training and support to staff on coding issues. Keep required certifications up to date.

Problem Resolution: Address and resolve coding discrepancies, denials, and rejections in a timely manner.

Reporting: Generate and analyze reports related to coding accuracy, billing, and reimbursement metrics.

Other duties as assigned by practice manager.

Qualifications - Minimum Requirements

Certified Coder or experience coding in a medical setting.

Work Experience

Prefer previous work experience in billing and coding.

Specific Skills

Ability to communicate effectively both orally and in writing

Typing

Ability to operate basic office equipment to include 10-key calculator, copier, and fax machine

Basic math/bookkeeping skills

Physical Requirements

Sedentary Work (Prolonged periods of sitting, exerting up to 10 lbs force occasionally)

Occasional lifting of supplies/equipment