Medical Coding Specialist - I

New
I
InnovaccerHealthcare Revenue Cycle
United StatesFull-TimeEntry
Salary$24-$28 per hour
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Job Details

Experience
Minimum of 3+ years of professional coding experience.
Required Skills
Microsoft Office

Requirements

  • Current AAPC or AHIMA certification held for a minimum of 3 years.
  • Minimum of 3+ years of professional coding experience.
  • Strong working knowledge of CPT and ICD-10-CM coding.
  • Proficiency in medical terminology, anatomy, and physiology.
  • Deep understanding of state and federal Medicare reimbursement guidelines.
  • Experience working in a medical billing environment with strict HIPAA compliance.
  • Ability to research and analyze data to resolve coding or documentation issues.
  • Demonstrated proficiency in Microsoft Office Suite (Word, Excel, Outlook, Teams).
  • Excellent written and verbal communication skills.
  • Ability to read, interpret, and apply complex policies, laws, and regulations.

Responsibilities

  • Review and resolve assigned front-end claim holds independently.
  • Assign ICD-10-CM and CPT codes with appropriate modifiers for professional fee services.
  • Review medical records and documentation to determine accurate codes for services and diagnoses.
  • Ensure all diagnosis codes meet local and national medical necessity guidelines.
  • Maintain a minimum of 90% coding accuracy.
  • Utilize internal resources and payer guidelines for compliant coding.
  • Follow all HIPAA regulations and maintain privacy and confidentiality.
  • Escalate coding-related questions and client trends to the Coding Team Lead.
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$24-$28 per hour
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