Job Description

ESSENTIAL DUTIES AND RESPONSIBILITIES

• Review and analyze clinical documentation to assign appropriate ICD-10, CPT, and HCPCS codes.
• Ensure coding accuracy and compliance with federal regulations, payer requirements, and clinic policies.
• Collaborate with providers, nurses, and clinical staff to clarify documentation when needed.
• Abstract relevant information from patient records to support accurate coding and billing.
• Enter and verify codes in the electronic health record (EHR) or billing software system.
• Identify and resolve coding errors, rejections, and denials in partnership with the billing team.
• Maintain current knowledge of coding guidelines, payer rules, and compliance standards (including HIPAA).
• Participate in regular audits and quality assurance activities to ensure documentation supports billed services.
• Assist with staff education and training related to coding and documentation best practices.
• Protect patient confidentiality and maintain the security of all health information.

SKILLS & ABILITIES

• Excellent verbal and written communication skills with patients and staff.
• Strong attention to detail and ability to maintain accurate records.
• Knowledge of medical terminology, anatomy, and physiology.
• Proficiency with computers and electronic health records.
• Ability to work independently and as part of a team.

QUALIFICATIONS

• Education: High school diploma required; Associate degree or diploma in Medical Coding preferred.
• Certification: Certified Professional Coder (CPC) or equivalent required within 1 year of hire .
• Experience: Minimum of 2 years of current medical coding experience preferred.

Other: Familiarity with ICD-10, CPT, and HCPCS coding systems and payer guideline

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