Medical Billing and Coding

• Resolve Claim Edits and Denials by reviewing clinical documentation, identifying root causes, correcting coding or modifier issues, and submitting appeals or corrected claims as needed
• Review and Assign Accurate CPT, ICD-10-CM, and HCPCS Codes for orthopedic and neurosurgical procedures, including inpatient and outpatient surgeries and office visits
• Analyze and Code Surgical Cases using detailed operative reports, ensuring adherence to coding guidelines, NCCI edits, payer policies, and documentation standards
• Evaluate Office Visit Documentation to confirm appropriate E/M levels and ensure documentation supports the billed services
• Use Coding and Billing Systems such as encoder software, EMRs (e.g., Epic, Cerner), and billing platforms to perform daily work efficiently and accurately
• Stay Informed on Coding Updates and Compliance Standards through continuous education and participation in relevant training or webinars

Medical Coding Specialist – Orthopedic, Neurosurgery

Physician Coder – Multi-Specialty / RHC

Inpatient Facility Coder – Contractor

Multi-Specialty Professional Coder – Contractor

Certified Professional Coder, CPC