Job Description
- Job Description:
- Perform outpatient medical coding and auditing.
- Ensure compliance with coding guidelines and regulations.
- Collaborate with healthcare staff to resolve coding issues.
- Conduct quality assurance reviews of coding practices.
- Provide training and mentorship to junior coders when necessary.
- Requirements:
- Bachelors degree in a related field (preferred but not always required).
- Active certification in any of the following: CPC, COC, CCS (mandatory).
- Minimum of 1 year experience in Outpatient Medical Coding in a clinical, BPO, or CPO set-up.
- At least 3-5 years of hands-on professional coding and outpatient facility coding experience.
- For senior-level roles: 5-7 years of medical coding experience (OP) with 3+ years in coding quality review or auditing.
- Experience in multi-specialty coding highly preferred.
- Strong knowledge of ICD-10-CM, CPT, and HCPCS coding systems.
- Familiarity with medical necessity guidelines and payer requirements.
- Proficiency in EMR/EHR platforms such as Epic, Cerner, Meditech, and 3M Encoder.
- Solid background in claims denials management, including analysis, resolution, and appeals processes.
- Excellent analytical and problem-solving skills.
- High attention to detail and accuracy in coding and auditing.
- Strong communication skills and ability to work independently or as part of a team.
- Willingness to work in clinical, BPO, or CPO environments.
Benefits:
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