Key Responsibilities:
Review and analyze medical documentation, including physician notes, lab reports, and patient records
Assign appropriate ICD-10, CPT, HCPCS, and other relevant codes based on documented diagnoses and procedures
Ensure coding accuracy and completeness to support proper billing and reimbursement
Maintain up-to-date knowledge of coding guidelines, regulatory requirements, and payer policies
Collaborate with billing and clinical teams to resolve coding discrepancies and issues
Conduct audits of coded records to ensure compliance and improve coding processes
Maintain confidentiality and security of patient information in accordance with HIPAA and local laws
Keep detailed records of coding activities and submit reports as required
Participate in ongoing training and professional development to stay current on coding updates
Qualifications:
Certification in Medical Coding (e.g., CPC, CCS, CCS-P, or equivalent)
Proven experience in medical coding, preferably in a hospital or clinical setting
Strong knowledge of ICD-10, CPT, HCPCS, and other coding standards
Familiarity with medical terminology, anatomy, and healthcare procedures
Attention to detail and high level of accuracy
Good organizational and time management skills
Ability to interpret medical documentation and clinical notes effectively