
U.S. Healthcare Coding Expert
2 weeks ago
A Medical Coding Specialist will review clinical documentation and assign diagnosis and procedure codes using ICD-10-CM, CPT, and HCPCS guidelines.
- Key Responsibilities:
- Review patient medical records and assign accurate diagnosis and procedure codes.
- Conduct Risk Adjustment / HCC coding to identify chronic conditions accurately.
- Perform chart audits to ensure code assignments are compliant with payer and regulatory guidelines.
- Resolve queries with providers or documentation authors when medical records are unclear.
- Maintain productivity and accuracy targets.
- Stay updated with coding changes, industry regulations, and payer policies.
Requirements:
- 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.
- Strong knowledge of medical terminology, anatomy & physiology.
- Proficiency with ICD-10-CM, CPT, HCPCS, and other coding systems.
- Good analytical skills, attention to detail, ability to work under deadlines.
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