Certified Medical Coder

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Requirements:

• Graduate with a BS in Nursing or comparable degrees in the medical field.
• Certified Medical Coder (CPC, CCS, or equivalent) from a recognized accrediting body.
• Proven experience in medical coding in a healthcare setting, for at least 2 years.
• Strong knowledge of medical terminology, anatomy, and physiology.
• RAF/HCC audit experience is preferred.
• Familiarity with coding software and electronic health record (EHR) systems.
• Excellent attention to detail and strong analytical skills.
• Ability to work independently and as part of a team.
• Strong communication skills, both verbal and written.

Responsibilities:

• Review and analyze medical records and documentation to ensure accurate coding.
• Assign appropriate ICD-10, CPT, and HCPCS codes based on documentation and coding guidelines.
• Ensure compliance with federal regulations, state laws, and payer requirements.
• Collaborate with healthcare providers to clarify any discrepancies or obtain additional information.
• Participate in ongoing education and training to stay updated on coding changes and regulations.
• Conduct regular audits of coding accuracy and documentation to identify areas for improvement.
• Assist in resolving coding-related inquiries from payers, providers, and other stakeholders.
• Maintain confidentiality and adhere to HIPAA regulations.