
Professional Medical Coder
1 day ago
As a skilled medical coder, you will be responsible for reviewing clinical documentation and assigning accurate diagnosis and procedure codes in accordance with industry guidelines.
The ideal candidate will possess strong knowledge of medical terminology, anatomy, physiology, coding systems such as ICD-10-CM, CPT, and HCPCS, and relevant healthcare laws and regulations.
- Review patient medical records to assign appropriate diagnosis and procedure codes ensuring accuracy and adherence to payer and regulatory requirements.
- Conduct risk adjustment/HCC coding to accurately identify and code chronic conditions.
- Perform chart audits to evaluate documentation insufficiencies and ensure code assignments are accurate.
- Resolve queries with providers when medical records are unclear or missing required details.
- Maintain productivity and accuracy targets by effectively managing time and resources.
- Certification: CPC and/or CRC from recognized certification bodies.
- Educational qualification: Graduate degree preferably in life sciences.
- Experience: Typically 1-3 years' experience in U.S. healthcare/risk adjustment/HCC/multispecialty coding.
- Strong analytical skills, attention to detail, and ability to work under deadlines.
This role offers a dynamic work environment where you can grow professionally while delivering exceptional results.
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