Medical Coding Specialist - Profee Surgery Coder

Responsibilities

• Accurately assign CPT, HCPCS, and ICD-10 codes for professional services, focusing on Evaluation and Management encounters and associated tangential services.
• Review medical documentation to ensure coding compliance with regulatory and organizational guidelines.
• Collaborate with healthcare providers and coding auditors to resolve coding discrepancies or documentation issues.
• Maintain proficiency in current coding practices, regulations, and industry updates to ensure accurate and up-to-date coding.
• Support internal teams by providing coding insights, education, and training on best practices related to professional services coding.
• Identify and communicate potential compliance risks or areas for improvement in coding processes.

Qualifications

• Certified Professional Coder (CPC) credential or equivalent certification required (e.g., CCS-P, COC).
• Proven experience in professional services coding, particularly in Evaluation and Management coding for various medical specialties.
• Strong knowledge of CPT, HCPCS, ICD-10 coding guidelines, and regulatory requirements related to professional services.
• Proficiency in using coding software and electronic health record (EHR) systems.
• Excellent analytical skills and attention to detail in reviewing medical documentation.
• Ability to work independently and collaboratively in a fast-paced environment.
• Effective communication skills to interact with healthcare providers, auditors, and internal teams.