
Medical Coder
11 hours ago
Job Description:
We are looking for a skilled and experienced Senior Medical Coder to accurately assign diagnostic and procedural codes across a wide range of specialties. The ideal candidate will possess strong analytical skills, extensive multispecialty coding knowledge, and the ability to work independently with minimal supervision.
As part of our healthcare coding team, you will ensure compliant coding practices to support optimal reimbursement and reduce audit risks. You will also act as a knowledge resource for junior coders and support quality improvement initiatives.
Role & responsibilities:
- Review and analyze clinical documentation for accuracy and completeness.
- Assign appropriate ICD-10-CM, CPT, and HCPCS Level II codes for diagnoses, procedures, and services across multiple specialties.
- Ensure compliance with federal, state, and payer-specific regulations.
- Work collaboratively with providers and clinical staff for documentation improvement and coding clarifications.
- Perform quality assurance reviews of coded data and support internal and external audits.
- Provide mentoring/guidance to junior coders when required.
- Stay updated on changes in coding guidelines, payer rules, and industry standards.
- Meet daily/weekly productivity and accuracy standards.
Preferred candidate profile
- Certification from AAPC or AHIMA (e.g., CPC, CPC-H, CCS, or CCS-P) mandatory.
- 35 years of hands-on coding experience in a multispecialty outpatient/inpatient setting.
- Proficiency in coding for Optometry, Podiatry, Chiropractic, Dermatology, and General Medicine.
- In-depth understanding of medical terminology, anatomy & physiology, and healthcare reimbursement.
- Familiarity with EMR/EHR systems (e.g., Epic, Cerner, eClinicalWorks, or similar).
- Strong attention to detail and problem-solving skills.
- Excellent verbal and written communication abilities.
Preferred Skills:
- Experience with denial management and claim resubmission.
- Prior experience with risk adjustment coding or HCC coding is a plus.
- Knowledge of HIPAA, CMS, and payer-specific guidelines.
- Ability to handle high-volume coding while maintaining quality standards.
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