Medical Coder – Evaluation
6 months ago
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Analyze medical records and documentation to identify services provided during patient evaluations and management
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Assign appropriate E&M codes based on the level of service rendered and in accordance with coding guidelines and regulations (e.g., CPT, ICD-10-CM, HCPCS)
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Ensure coding accuracy and compliance with coding standards, including documentation requirements for various E&M levels
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Stay up-to-date with relevant coding guidelines, including updates from regulatory bodies (e.g., Centers for Medicare and Medicaid Services, American Medical Association)
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Adhere to coding regulations, such as HIPAA (Health Insurance Portability and Accountability Act) guidelines, to ensure patient privacy and confidentiality
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Follow coding best practices and maintain a thorough understanding of coding conventions and principles
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Collaborate with healthcare professionals, including physicians, nurses, and other staff members, to obtain necessary information for coding purposes
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Communicate with providers to address coding-related queries and clarify documentation discrepancies
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Work closely with billing and revenue cycle teams to ensure accurate claims submission and facilitate timely reimbursement
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Conduct regular audits and quality checks on coded medical records to identify errors, inconsistencies, or opportunities for improvement
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Participate in coding compliance programs and initiatives to maintain accuracy and quality standards
To be considered for this position, applicants need to meet the following qualification criteria:
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Certified Professional Coder (CPC) or equivalent coding certification (e.g., CCS-P, CRC)
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In-depth knowledge of Evaluation and Management coding guidelines and principles
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Proficient in using coding software and Electronic Health Record (EHR) systems
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Familiarity with medical terminology, anatomy, and physiology
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Strong attention to detail and analytical skills
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Excellent communication and interpersonal skills
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Ability to work independently and as part of a team
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Compliance-oriented mindset and understanding of healthcare regulations
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Strong organizational and time management abilities
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Continuous learning mindset to stay updated on coding practices and changes
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