Medical Coding Specialist
1 day ago
The Medical Coding Manager is responsible for overseeing the day-to-day operations of the coding department to ensure accurate, timely, and compliant coding of medical records. This role involves managing a team of medical coders, implementing quality control processes, ensuring adherence to ICD-10-CM, CPT, and HCPCS coding guidelines, and coordinating with clinical and billing teams to optimize revenue cycle performance.
Key Responsibilities:
- Supervise and manage daily operations of the medical coding team.
- Review and audit medical coding for accuracy and compliance with federal regulations and payer requirements.
- Train, mentor, and evaluate coding staff to ensure high performance and professional development.
- Implement and monitor coding policies, procedures, and performance standards.
- Ensure timely and accurate coding to meet billing and reimbursement deadlines.
- Collaborate with physicians, billing, and compliance teams to resolve coding-related discrepancies.
- Maintain current knowledge of coding updates, compliance regulations, and industry trends.
- Prepare departmental reports and dashboards on productivity, accuracy, and KPIs.
- Assist with internal and external audits and take corrective action as needed.
- Ensure HIPAA and data confidentiality compliance at all times.
Qualifications:
- Bachelor's degree in Health Information Management, Nursing, or related field (preferred).
- Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or equivalent certification required.
- Minimum 5 years of experience in medical coding with at least 2 years in a supervisory or managerial role.
- Strong knowledge of ICD-10, CPT, HCPCS, and DRG coding systems.
- Familiarity with payer guidelines, CMS regulations, and healthcare billing processes.
- Proficient in EHR/EMR systems and coding software.
- Excellent leadership, communication, and organizational skills.
Preferred Skills:
- Experience in coding for multiple specialties or inpatient/outpatient settings.
- Knowledge of risk adjustment and HCC coding.
- Experience with coding audits and compliance programs.
- Data-driven mindset with proficiency in Excel or analytics tools.
Job Types: Full-time, Permanent
Pay: ₹25, ₹55,000.00 per month
Benefits:
- Health insurance
- Provident Fund
Work Location: In person
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