
Medical Coding Specialist
22 hours ago
Job Title: Medical Coding Specialist
Overview:
We are seeking a detail-oriented and experienced medical coding specialist to accurately assign CPT, ICD-10-CM, Modifiers and HCPCS codes for diagnostic and therapeutic procedures, ensuring compliance with federal regulations, payer-specific requirements, and internal quality standards.
Key Responsibilities:
- Review and interpret complex medical reports to assign accurate codes for procedures and diagnoses.
- Apply appropriate CPT, ICD-10-CM, and HCPCS codes for various medical procedures
- Ensure compliance with ACR, CMS, NCCI, payer-specific rules, and LCD/NCD policies.
- Keep up to date with medical coding guidelines, CPT changes, and compliance regulations.
- Support internal and external audits by providing detailed coding rationale and documentation.
Qualifications:
- Certified Professional Coder (CPC) or CIRCC certification strongly preferred
- Minimum of 3 years of hands-on experience in medical coding.
- MIPS Coding is Mandatory.
- Familiarity with RIS/PACS systems, and coding tools.
- In-depth knowledge of CPT, ICD-10-CM, and HCPCS Level II codes
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