Job Description

Key Responsibilities:

Review Patient Records:

Examine clinical documents, including physician notes, lab reports, and test results, to determine the correct medical codes.

Code Diagnoses and Procedures:

Apply ICD-10 codes for diagnoses and CPT/HCPCS codes for procedures to ensure correct coding of services rendered.

Ensure Accuracy:

Ensure that coding is accurate, up-to-date, and compliant with insurance company and regulatory standards.

Documentation and Compliance:

Maintain accurate records for auditing purposes and comply with legal and ethical standards, including confidentiality regulations (HIPAA in the U.S.).

Billing Support:

Work with healthcare providers and medical billers to ensure that claims are processed efficiently and that reimbursements are received.

Claim Management:

Identify and resolve issues or discrepancies in coding that may lead to rejected claims.

Stay Current with Coding Updates:

Keep up-to-date with new codes, billing guidelines, and changes in medical regulations to maintain proficiency.

Communicate with Healthcare Providers:

Collaborate with physicians, nurses, and other healthcare professionals to clarify patient diagnoses and procedures.

Skills & Qualifications:

Certification:

Certification from recognized bodies such as the

American Health Information Management Association (AHIMA)

or the

American Academy of Professional Coders (AAPC)

is often required.

Knowledge of Coding Systems:

Familiarity with ICD-10, CPT, and HCPCS coding systems, as well as an understanding of medical terminology and anatomy.

Attention to Detail:

High level of accuracy when assigning codes, as errors can lead to insurance disputes or payment delays.

Analytical Skills:

Ability to review and analyze medical records and translate them into appropriate codes.

Computer Skills:

Proficiency in coding software, medical record systems, and billing software.

Communication Skills:

Good written and verbal communication skills to interact with other healthcare professionals and ensure accurate coding.

Preferred Qualifications:

Knowledge of insurance policies, claim filing, and reimbursement processes. Familiarity with healthcare regulations and standards, including HIPAA
Job Types: Full-time, Permanent

Pay: ?30,644.55 - ?41,929.61 per month

Benefits:

Health insurance Paid sick time Provident Fund
Work Location: In person