Medical Coder (US Healthcare)

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Requirements:

• Must be AAPC/AHIMA certified coder.
• At least 3-5 years of clinical experience in Medical Coding.
• Knowledgeable in US Insurance Plan Structure and HIPAA regulations.
• Good oral and verbal English communication skills as well as listening skills.
• Capacity to navigate challenging situations with ease.
• Willing to work in a graveyard shift (US time zone).
• Own Desktop/Laptop with specified system requirements.
• Internet Connectivity: At least 20-25 Mbps wired connection, with backup options.
• Peripherals: Headset with noise-canceling feature.

Responsibilities:

• Translate details from a patient's medical documents into medical codes for health insurance claims purposes.
• Ensure accurate data entry of the coding and claims submission for services provided by physicians, including assigning correct ICD-10 and CPT codes.
• Provide support to clinic/practice managers and staff in determining accurate coding and billing practices.
• Liaise with clients/providers and team members for coding-related queries and concerns.
• Perform audits for coding denials, missing information, and charts.
• Maintain a tracking system for the charts coded and ensure work completion.
• Research coding and claims questions thoroughly to maintain high-quality standards.