
Clinical Documentation Specialist
2 days ago
Job Overview
As a Medical Coder, you will be responsible for reviewing clinical documentation and assigning appropriate diagnosis and procedure codes using ICD-10-CM, CPT, and HCPCS guidelines.
Key Responsibilities:
- Conduct in-depth analysis of medical records to ensure accurate coding compliance with industry regulations and internal standards.
- Utilize ICD-10-CM, CPT, and HCPCS systems to assign relevant codes, ensuring adherence to payer and regulatory requirements.
- Participate in quality improvement initiatives to enhance coding accuracy and efficiency.
- Collaborate with healthcare professionals to resolve queries related to unclear or missing medical documentation.
- Stay up-to-date with industry developments, including changes to coding guidelines and certification requirements.
Requirements
- Certification: CPC and/or CRC from recognized bodies.
- Graduate degree in Life Sciences or related field.
- Typically 1-3 years of experience in U.S. healthcare/risk adjustment/multispecialty coding.
- Strong knowledge of medical terminology, anatomy, and physiology.
- Proficiency with ICD-10-CM, CPT, HCPCS, and other coding systems.
Essential Skills:
- Coding
- Risk Adjustment
- HCC
- ICD-10-CM
- CPT
- HCPCS
- Medical Terminology
- Anatomy & Physiology
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