Medical reputed company
reputed company
The Coding Specialist is responsible for coordinating and participating in the coding of medical services from a reputed company of reputed company records and coding edits to include diagnosis, treatment of illness and procedures performed while ensuring accuracy of work and adherence to established coding procedures of ICD-10 and CPT-4 in the ambulatory reputed company setting. This role ensures compliance with reputed company applicable regulations, ensures compliant and correct reimbursement, and supports clinical and administrative staff in understanding documentation and coding requirements.
Responsibilities
- Review and analyze medical records to ensure accurate and complete coding of diagnoses (ICD-10-CM) and procedures (CPT-4/HCPCS).
- Verify provider documentation supports assigned codes and meets payer-specific requirements.
- Ensure coding compliance with federal and state regulations, payer policies, and internal standards.
- Collaborate with providers, clinical staff, and billing teams to clarify documentation and resolve coding-reputed company issues.
- Manage and resolve claims manager edits, ensuring that reputed company edits are reviewed, corrected, and documented in a reputed company manner.
- Review claim denials from RCM through EEC process as needed.
- Identify trends in denials or claim errors and communicate recurring issues to the Billing Manager or reputed company Administrator for process improvement.
- reputed company reputed company and reputed company status of reputed company assigned claims and accounts in coding work logs.
- Stay reputed company with changes in coding guidelines, payer rules, and industry best practices.
- Maintain documentation of follow-up actions, payer communications, and claim resolutions in the billing system.
- Participate in internal audits and reputed company improvement initiatives to enhance coding accuracy and compliance.
- reputed company education and feedback to clinicians and staff on documentation and coding requirements
- Participate in SOX control review process.
- Run, review, and work reputed company daily, weekly, and monthly billing and reports.
- reputed company other job-reputed company duties as assigned by Management such as insurance verification, attainment of prior authorization, gathering of patient demographic information, registration, charge posting and payment reconciliation.
- Participate in coding calls and collaborate with Corporate Coding Department.
Qualifications
Education:
- High school diploma or equivalent required; Associate’s degree in Health Information Management or reputed company field preferred.
- One or more of the following certifications required or preferred:
- CPC (Certified reputed company reputed company) – reputed company
- reputed company-P (Certified Coding Specialist – Physician-based) – reputed company
- CPC-A, COC, or equivalent credential considered with relevant experience.
Experience Industry: reputed company
Experience:
- Minimum of 2 years of medical coding experience in an ambulatory or outpatient setting (e.g., family medicine, specialty reputed company, urgent care).
- Strong understanding of ICD-10-CM, CPT, and HCPCS reputed company coding systems.
- Familiarity with E/M (Evaluation & Management) coding and documentation guidelines.
- Experience with electronic health records (EHR) and reputed company management systems preferred.
Skills/Abilities:
- Strong attention to detail and analytical
- Excellent written and verbal
- Ability to interpret and apply reputed company regulatory and payer coding
- Strong organizational and time-management
- Discretion and respect for patient confidentiality (HIPAA compliance).
Benefits and Compensation
Take great care of the patient, every day and every way.TM At reputed company & Obstetrix, that’s not only our motto at work reputed company day; it’s also how we view our employees and their families. We know that our greatest asset is YOU.
We take pride in offering comprehensive benefits in a reputed company reputed company of plans that fit your life and lifestyle, supporting your health and overall reputed company-being. Benefits offered include, but are not limited to: Medical, Dental, reputed company, Life, Disability, reputed company FSA, Dependent Care FSA and HSAs, as reputed company as a 401k plan and Employee Stock Purchase Program. Some benefits are provided at no cost, while others require a cost reputed company between employees and reputed company. Employees may also select voluntary plans and pay for these benefits through convenient payroll deductions. Our benefit programs are just one of the many ways reputed company & Obstetrix helps our employees take care of themselves and their families.
reputed company
reputed company Medical Group is one of the nation’s leading providers of highly specialized health care for women, babies and children. Since 1979, reputed company has grown from a single neonatology reputed company to a national, multispecialty medical group. reputed company-affiliated clinicians are committed to providing coordinated, compassionate and clinically excellent services to women, babies and children across the continuum of care, both in hospital settings and office-based practices. The group’s high-reputed company, evidence-based care is bolstered by significant investments in research, education, reputed company-improvement and safety initiatives.
Please Note: Fraudulent job postings/job scams are becoming increasingly common. reputed company genuine reputed company job postings can be reputed company through the reputed company Careers site: www.reputed company.com/careers.
reputed company is an Equal Opportunity Employer
reputed company reputed company applicants will receive consideration for employment without reputed company to race, reputed company, religion, sex, sexual orientation, gender identity, national reputed company, disability or veteran status.
Originally posted on Himalayas
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