Medical Billing and Coding

• Accurately assign CPT, ICD-10-CM, and HCPCS codes to medical records documentation for professional services, ensuring compliance with all regulatory guidelines and internal policies.
• Review and verify documentation to ensure all services rendered are supported and coded to the highest level of specificity.
• Identify and correct coding discrepancies and ensure timely and accurate claim submission.
• Serve as a coding resource and provide education to providers and clinical staff on documentation requirements, coding guidelines, and regulatory changes to promote coding accuracy.
• Conduct regular audits of medical records and coded data to monitor quality and compliance.
• Assist in the development and maintenance of coding policies and procedures.
• Stay current with changes in coding guidelines, payer requirements, and regulatory updates (e.g., CMS, AMA).
• Collaborate with the billing team to resolve coding-related denials and improve clean claim rates.

Certified Professional Coder, CPC

Medical Coding Specialist

Coder III – Medical Coding Specialist, Certified Professional Coder, Medical Billing and Coding Specialist, Inpatient Coding Specialist

Pre-Authorization Medical Coder

Physician Coder – Multi-Specialty / RHC

Multi-Specialty Professional Coder – Contractor