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We are looking for a detail-oriented Medical Coder to join our team. In this role, you will play a vital role in ensuring accurate and compliant coding for medical procedures and diagnoses. The ideal candidate will have a strong background in medical coding, with expertise in ICD-10 and CPT codes, and the ability to work across multiple specialties.
Job Responsibility:
Review medical records and assign appropriate ICD-10, CPT, and other relevant codes using 3M coding software for outpatient work types, including ancillary services, emergency department visits, same-day surgeries, and observation cases
Ensure that assigned codes align with documented reasons for visits and meet the required medical necessity guidelines
Apply charges for procedures such as Evaluation and Management (E& M) levels, injections, and infusions as needed, using third-party software systems
Abstract and validate required data in accordance with facility-specific guidelines and standards
Conduct medical necessity checks for Medicare and other payers based on established payment criteria
Collaborate with healthcare providers to clarify documentation and resolve coding discrepancies
Stay current with coding regulations, guidelines, and payer requirements to ensure compliance
Assist in quality assurance efforts to maintain high standards of coding accuracy and efficiency
Provide coding support across multiple specialties, including OBGYN, interventional cardiology, neurology, general surgery, and more
Requirements:
Minimum of 1 year of experience in profee medical coding
Proficiency in ICD-10 and CPT coding systems
Certification in medical coding (e.g., CPC, CCS, or equivalent) is required
Familiarity with 3M coding software and third-party systems for charge entry and validation
Strong knowledge of medical terminology and various specialties, including vascular, urology, anesthesiology, and wound care
Ability to perform medical necessity checks and ensure compliance with payer guidelines
Excellent attention to detail and organizational skills
Strong communication skills, with the ability to collaborate effectively with healthcare providers
What we offer:
medical, vision, dental, and life and disability insurance