
Healthcare Coding Specialist
2 days ago
Job Summary
As a medical coder, you will play a vital role in ensuring the accuracy and quality of coded data. Your primary responsibility will be to review clinical documentation, assign appropriate diagnosis and procedure codes using ICD-10-CM, CPT, and HCPCS guidelines.
Key Responsibilities:
- Review clinical documentation for accuracy and completeness.
- Assign ICD-10-CM, CPT, and HCPCS codes based on established guidelines.
- Conduct risk adjustment/HCC coding to identify and code chronic conditions accurately.
- Perform chart audits to evaluate documentation insufficiencies and ensure they support code assignments.
- Ensure coded data adhere to payer/regulatory guidelines and internal compliance standards.
- Resolve queries with providers when medical records are unclear or missing needed details.
Required Skills and Qualifications:
- Certification: CPC and/or CRC from recognized bodies.
- Educational qualification: Graduate degree preferably in Life Sciences.
- Experience: Typically 1-3 years coding experience in U.S. healthcare/risk adjustment/multispecialty coding.
- Strong knowledge of medical terminology, anatomy, and physiology.
- Proficiency with ICD-10-CM, CPT, HCPCS, and other coding systems.
Benefits:
- Opportunity to work in a dynamic and fast-paced environment.
- Chance to develop skills in a rapidly evolving field.
- Competitive compensation package.
Others:
- Participate in ongoing training and process improvement initiatives.
- Stay updated with coding changes, industry regulations, and coding certification requirements.
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