Medical Coding Specialist- Hybrid/Remote

About the role

Individuals will be responsible for coding all physician, clinical, and surgical claims. Review documentation via EHR or operative note to verify the accuracy and completeness of CPT and ICD10 code assignment for claims submission. The Medical Coder is responsible for translating medical documentation into standardized codes that accurately represent the patient's medical history, treatments, and procedures. The role ensures that the hospital’s billing processes are precise and compliant with regulations, facilitating efficient reimbursement from insurance companies and payers.

Responsibilities

• Serves as the key point of contact for coding information
• Provides onsite coding and documentation, education, and feedback to providers for coding changes (CPT including E&M, modifiers and internal codes, ICD-9, ICD-10, HCPCS), annual updates, payor requirements, and insurance rejection resolution
• Staying abreast of payer regulations and documentation requirements.
• Stay updated with coding guidelines, payer policies, and regulatory changes.
• Procedure precertification assigning of ICD-10 and CPT codes.
• Maintains current knowledge of Medicare, Medicaid, and other regulatory requirements of nationally accepted coding policies and standards.
• Ensure coding practices adhere to legal and ethical standards, including HIPAA regulations.