Principal Medical Coding Specialist
1 day ago
Job Opportunity
">We are seeking a skilled Medical Coder to fulfill our coding requirements. As a key member of our team, you will be responsible for reviewing clinical documentation and assigning appropriate diagnosis and procedure codes using ICD-10-CM, CPT, and HCPCS guidelines.
">The ideal candidate will have a strong understanding of medical terminology, anatomy, and physiology. They will also possess excellent analytical skills, attention to detail, and the ability to work under deadlines.
">Responsibilities:
">- ">
- Review clinical documentation and assign appropriate diagnosis and procedure codes using ICD-10-CM, CPT, and HCPCS 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, and coding certification requirements.">
- Participate in ongoing training and process improvement initiatives.">
- Assist in denial management, claims adjudication, revenue leakage identification, and support payment integrity.">
- Maintain confidentiality and security of patient data (HIPAA/applicable local laws).">
What We Offer:
">A competitive compensation package, opportunities for professional growth and development, and a collaborative work environment.
">Why Apply:
">This is an exciting opportunity to join a dynamic team and contribute to the delivery of high-quality healthcare services.
":-
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