Coder-Certified I
- Review patients' medical records to extract relevant information needed for billing and coding.
- Apply appropriate ICD-10, CPT, and HCPCS Level II code assignments to ensure accurate and timely billing.
- Work closely with healthcare providers and billing teams to clarify discrepancies, ensure documentation compliance, and verify the accuracy of coded data.
- Stay current with coding guidelines, trends, and federal regulations to ensure up-to-date knowledge and compliance.
- Conduct regular audits to ensure coding accuracy, address any discrepancies, and provide feedback and education to clinical staff as needed.
- Assist the billing department in the resolution of coding-related denials and rejections, including preparing appeals as necessary.
- Participate in educational sessions, workshops, and meetings to enhance coding knowledge and skills.
- Certification as a medical coder from an accredited organization (e.g., CPC).
- >1yr of coding experience in a primary care setting.
- Proficiency in ICD-10, CPT, and HCPCS Level II coding standards.
- In-depth knowledge of medical terminology, pharmacology, and disease processes.
- Strong analytical and problem-solving skills.
- Excellent attention to detail and organizational skills.
- Solid communication skills, both written and verbal.
- Ability to work independently and collaboratively within a team environment.
- Familiarity with Electronic Health Record (EHR) systems and medical billing software.
- Experience with coding audits and compliance reviews.
- Knowledge of federal regulations regarding medical coding and billing.
- Ability to lift up to 50 pounds
- Ability to push or pull heavy objects using up to 50 pounds of force
- Ability to sit for extended periods of time
- Ability to stand for extended periods of time
- Ability to use fine motor skills to operate office equipment and/or machinery
- Ability to receive and comprehend instructions verbally and/or in writing
- Ability to use logical reasoning for simple and complex problem solving
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