Key Responsibilities :
- Review medical records, patient charts, and documents to accurately assign codes for diagnoses, procedures, and treatments in compliance with industry standards and regulations (e.g., ICD-10, CPT, HCPCS).
- Ensure the proper use of medical coding systems for accurate billing and reimbursement processes.
- Maintain up-to-date knowledge of coding changes, regulations, and compliance requirements (e.g., HIPAA, Medicare).
- Work with healthcare providers, medical professionals, or software teams to clarify documentation and coding requirements.
- Perform coding audits to ensure compliance and accuracy, and resolve any discrepancies or errors.
- Generate and review reports to track coding productivity, accuracy, and outstanding claims.
- Collaborate with billing and insurance teams to address coding-related issues and claims denials.
- Assist in the preparation of coding documentation and training materials.
- Stay informed on industry trends and updates in coding systems, software tools, and regulations.
Skills Required
Us Healthcare, Medical Billing, Denial Management, Medical Coding, Claims Processing