Medical Coding Specialist
2 days ago
Job Opportunity
We are seeking a skilled medical coder to fill a challenging position. The ideal candidate will have strong knowledge of medical terminology, anatomy & physiology and be proficient in ICD-10-CM, CPT, HCPCS and other coding systems.
Main Responsibilities
- Review clinical documentation (patient medical records) and assign appropriate diagnosis and procedure codes using ICD-10-CM, CPT (and HCPCS if applicable) guidelines.
- Conduct Risk Adjustment / HCC (Hierarchical Condition Category) coding: identify and code chronic conditions accurately.
- Perform chart audits to evaluate documentation insufficiencies and ensure they support code assignments.
- Ensure that coded data adhere to payer / regulatory guidelines and internal compliance standards.
- Resolve queries with providers or documentation authors when medical records are unclear or missing needed details.
- Maintain productivity and accuracy targets as set by the team / project.
- Stay updated with coding changes, industry regulations, payer policies (e.g. CMS, Medicare Advantage etc.), and coding certification requirements.
- Participate in ongoing training and process improvement initiatives.
- Maintain confidentiality and security of patient data (HIPAA / applicable local laws).
Required Qualifications
- Certification: CPC (Certified Professional Coder) and/or CRC (Certified Risk Adjustment Coder) from recognized bodies.
- Educational Qualification: Graduate (Bachelor's degree) preferably in Life Sciences.
- Experience: Typically 1-3 years coding experience in U.S. healthcare / risk adjustment / HCC / multispecialty coding.
- Strong knowledge of medical terminology, anatomy & physiology.
- Proficiency with ICD-10-CM, CPT, HCPCS (if needed), and other coding systems.
- Good analytical skills, attention to detail, ability to work under deadlines.
- Communication skills: both written and verbal.
- Computer skills: comfortable using EHR / EMR tools, basic MS Office (Excel, Word), coding / auditing software.
- Prior experience in facility setting (inpatient / outpatient) coding, or surgery / pathology etc specialties.
- Ability to mentor / train junior coders.
Key Benefits
The successful candidate will have the opportunity to work in a dynamic environment, develop new skills, and contribute to the success of our organization.
About Us
We are committed to delivering high-quality services and maintaining a positive work environment.
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