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Medical Certified Coder Specialist

payerfusion · 30+ days ago
2100 Ponce De Leon Boulevard
Negotiable
Full-time
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About Us:

We are a service-based company and as a licensed Third-Party Administrator, we are seeking only top talent and experienced personnel in order to meet and exceed our client's expectations. We’re an innovative company creating a unique experience for healthcare professionals. While many industry-wide solutions exist, nothing comes close to our ground-breaking approach.

Responsibilities:

  • Conduct quality assurance audits to ensure coding accuracy and compliance.
  • Assign and sequence ICD-10, CPT, and HCPCS codes to diagnoses and procedures.
  • Ensure codes are accurate and compliant with government and insurance regulations.
  • Review clinical documents, medical records, and patient charts for correct coding.
  • Ensure coding is timely, accurate, and compliant with healthcare guidelines.
  • Collaborate with healthcare providers and administrative staff to resolve coding discrepancies.
  • Prepare and submit coded data for insurance claims, addressing any claim denials or issues.
  • Stay updated on coding changes, medical terminology, and regulatory updates.
  • Follow up with providers on insufficient or unclear documentation.
  • Communicate with staff regarding documentation needs.
  • Research complex or unusual coding cases.
  • Review patient charts and documents for accuracy.
  • Ensure all codes are current and active.

Benefits

  • Excellent health and dental insurance coverage
  • Free vision, life, and hospital gap insurance
  • 12 paid holidays
  • Paid Time Off
  • 401K with company match up to 4%

Requirements:

  • High school diploma or equivalent (required); Certification in medical coding (e.g., CPC, CCS, or equivalent) is preferred.
  • Previous experience in medical coding or a related healthcare field is a plus.
  • Strong knowledge of ICD-10, CPT, and HCPCS coding systems.
  • Familiarity with medical terminology, anatomy, and clinical procedures.
  • Attention to detail and accuracy in coding and documentation.
  • Ability to communicate effectively with healthcare providers and insurance companies.
  • Knowledge of HIPAA and other healthcare privacy regulations.
  • Knowledge of Microsoft Excel, Word, Outlook and Teams software.

Last updated on Jan 6, 2025

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