Job Description

Description
Review medical records and provider documentation for completeness and accuracy.
Assign accurate ICD-10, CPT and other applicable codes based on documentation and coding guidelines.
Ensure coding compliance with federal regulations, payer policies, and industry standards.
Query providers for clarification when documentation is insufficient or ambiguous.
Collaborate with billing and clinical teams to resolve coding issues and reduce denials.
Maintain up-to-date knowledge of coding changes, industry updates, and payer requirements.
Support audits by preparing coding reports and participating in chart reviews when necessary.
Protect patient confidentiality and ensure HIPAA compliance at all times.
Requirements
High school diploma or equivalent required; associate’s or bachelor’s degree preferred.
Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or equivalent credentials required.
Minimum of 2 years of coding experience in a clinical, hospital, or specialty practice setting.
Proficiency in medical terminology, anatomy, and physiology.
Strong knowledge of ICD-10 & CPT coding systems.
Experience with EHR systems and medical billing software
Excellent attention to detail and analytical skills.
Strong written and verbal communication abilities.
Ability to work independently and manage multiple priorities.

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