
Senior Medical Coding Specialist
22 hours ago
Job Summary:
">- Review clinical documentation to assign diagnosis and procedure codes using ICD-10-CM, CPT (and HCPCS if applicable) guidelines.
- Conduct Risk Adjustment / HCC coding by accurately identifying and coding chronic conditions.
- Perform chart audits to evaluate documentation insufficiencies and ensure they support code assignments.
- Maintain coded data adherence to payer/regulatory guidelines and internal compliance standards.
- Resolve queries with providers or documentation authors when medical records are unclear or missing needed details.
- Meet productivity and accuracy targets as set by the team/project.
- Stay up-to-date with coding changes, industry regulations, and certification requirements.
- Participate in ongoing training and process improvement initiatives.
Required Skills and Qualifications:
">- Certification: CPC and/or CRC from recognized bodies.
- Educational Qualification: Graduate 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, and other coding systems.
- Good analytical skills, attention to detail, ability to work under deadlines.
- Effective communication skills (written and verbal).
- Computer skills: comfortable using EHR/EMR tools, basic MS Office, and coding/auditing software.
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