Senior Coder Profee HCC

Job Family:

Travel Required:

Clearance Required:

What will you do:

• Candidate should analyze patient information and accurately converting it into medical codes. 
• Ensuring coding accuracy to avoid billing denials. 
• Validating documentation to support E/M (Evaluation and Management) codes based on medical decision-making or time. 
• Maintaining current coding knowledge and credentials is also part of the role
• Extensive knowledge of ICD-10-CM, CPT, and HCPCS Level II coding principles and guidelines. 
• Familiarity with reimbursement systems, federal, state, and payor-specific regulations and policies related to coding and billing. 

What you will need:

• Minimum requirement of 2 yrs experience in a relevant coding specialty, with specific experience in HCC coding. 
• Mandatory certifications like CPC, CCS, COC, or CRC. CPC 'A' must be removed
• Good communication and analytical skills are required
• Candidate should possess Graduation whiich is a mandatory requirement
• Knowledge of NCCI edits and CMS guidelines. 
• Detail-oriented with good comprehension and typing skills 
• Ensuring coding accuracy to avoid billing denials. 
• Validating documentation to support E/M (Evaluation and Management) codes based on medical decision-making or time

What would be nice to have:

• Proficiency in MS Office/excel
• Experience in coding software or encoder (3M, Trucode, Optum)
• Familiarity with HER/EMR systems (EPIC, Cerner, etc.,)
• Knowledge of multiple coding specialties (ED, EM (OP&IP), etc.

What We Offer:

Guidehouse offers a comprehensive, total rewards package that includes competitive compensation and a flexible benefits package that reflects our commitment to creating a diverse and supportive workplace.

About Guidehouse

Guidehouse is an Equal Opportunity Employer–Protected Veterans, Individuals with Disabilities or any other basis protected by law, ordinance, or regulation.

Guidehouse will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of applicable law or ordinance including the Fair Chance Ordinance of Los Angeles and San Francisco.

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