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1 week ago
We are seeking a skilled Coding Specialist to join our team. The successful candidate will be responsible for abstracting clinical documentation, assigning accurate ICD-10-CM, CPT, and HCPCS Level II codes, and handling coding-related denials.
- Key Responsibilities:
- Abstract clinical documentation for ENM (Office Visits, Consults), Surgical Procedures, and Hospital OP/IP encounters.
- Assign accurate ICD-10-CM, CPT, and HCPCS Level II codes following official guidelines and client requirements.
- Handle coding-related denials – identify root causes, correct coding errors, and reprocess or appeal denied claims.
- Collaborate with QA and billing teams to ensure compliance and coding integrity.
- Maintain productivity and accuracy benchmarks as per SLA.
- Stay up to date on coding guidelines, payer-specific policies, and NCCI edits.
- Education: Any Life Sciences/Paramedical Graduate (B.Sc, BPT, BDS, BPharm, etc.)
- Certification:
- AAPC or AHIMA certified – CPC, COC, CCS, or equivalent (mandatory)
- Experience:
- 1–4 years of hands-on experience in coding ENM, Surgery, or OP/IP cases
- Experience in denial management and appeals process is a strong plus
- Deep knowledge of medical terminology, anatomy, and physiology
- Strong understanding of ICD-10, CPT, HCPCS, Modifiers, and coding guidelines
- Hands-on experience with coding platforms (3M, EncoderPro, TruCode, etc.)
- Familiarity with payer-specific rules and documentation compliance
- Strong analytical, communication, and documentation skills
- Ability to manage time, meet deadlines, and work independently
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