Medical Coder

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Requirements:

• Bachelor's Degree in any field
• Certification as a Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or equivalent.
• Minimum 3 years of experience as a medical coder in a hospital, clinic, or healthcare setting.
• Proficiency in ICD-10, CPT, and HCPCS coding systems.
• Knowledge of Electronic Health Records (EHR) systems and medical coding software.
• Strong computer skills, including proficiency in Microsoft Office Suite.
• Excellent attention to detail and organizational skills.
• Strong analytical and problem-solving abilities.
• Effective communication and collaboration skills.

Responsibilities:

• Review medical records and patient information to identify appropriate diagnosis and procedure codes.
• Assign and sequence codes accurately using ICD-10, CPT, and HCPCS coding systems.
• Ensure coding complies with legal and insurance regulations, including HIPAA.
• Collaborate with billing departments to ensure accurate submission of insurance claims.
• Assist in resolving coding-related issues or denials from insurance providers.
• Conduct regular audits of medical records to verify accuracy and completeness of coding.
• Stay updated on industry standards, changes in coding systems, and regulatory requirements.
• Communicate effectively with physicians, nurses, and other healthcare professionals to clarify diagnoses and procedures.
• Provide coding education and guidance to healthcare staff as needed.