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Summary

The Podiatry Medical Coder is responsible for the accurate and timely review, analysis, and coding of all podiatric services and diagnoses from medical records and documentation. This role ensures proper reimbursement by assigning the correct ICD-10, CPT, and HCPCS codes while maintaining strict compliance with all government and insurance guidelines.

Qualifications:

• A minimum of 23 years of experience in medical coding, with a specialization in Podiatry coding
• Certified Professional Coder (CPC) certification is required.

Key responsibilities:

• Analyze patient medical records, operative reports, and physician notes to accurately abstract all relevant diagnoses and procedures.
• Assign appropriate ICD-10, CPT, and HCPCS codes for a wide range of podiatric services, including routine foot care, wound care, surgical procedures (e.g., bunionectomies, hammertoe repairs, I&D, Debridement of nail(s))
• Stay current with all coding guidelines and regulatory changes from the Centers for Medicare & Medicaid Services (CMS), the American Medical Association (AMA), and other payers, as podiatry is a highly regulated specialty.
• Research and resolve claim denials related to coding errors, insufficient documentation, or medical necessity issues, and facilitate the appeal process.

Technical skills:

• In-depth knowledge of podiatry-specific CPT, ICD-10, and HCPCS codes, including the use of appropriate modifiers (e.g., Q modifiers for routine foot care).
• Meticulous attention to detail and a high level of accuracy in assigning codes and reviewing documentation
• Proficiency with electronic health records (EHR) and medical coding software is essential.