Medical Coding Specialist
Medical Coding Specialist
Medical Coding Specialists are responsible for translating medical procedures, diagnoses, and treatments into standardized codes such as CPT, ICD-10, and HCPCS. These codes are essential for accurate billing and insurance claims. They work closely with healthcare providers to ensure proper documentation, prevent coding errors, and stay updated with changes in coding regulations and guidelines.
Job Description:
- Assign appropriate ICD-10, CPT, and HCPCS codes to patient diagnoses and procedures for insurance billing.
- Review medical records and documentation to ensure coding is accurate and complete.
- Ensure compliance with healthcare regulations and coding standards.
- Communicate with healthcare providers to clarify any ambiguous or incomplete information.
- Assist with audits and reviews to ensure coding accuracy.
- Stay updated on changes in medical coding practices and guidelines.
- Maintain and manage databases of medical codes and ensure their proper application.
- Generate reports on coding data and provide insights for process improvements.
Desired Candidate Profile:
- In-depth knowledge of ICD-10, CPT, and HCPCS coding systems.
- Strong understanding of medical terminology and healthcare documentation.
- Ability to analyze and interpret medical records for accurate coding.
- Familiarity with coding software and electronic health record (EHR) systems.
- Strong attention to detail and accuracy in coding.
- Excellent communication skills to interact with healthcare providers and insurance companies.
- Certification in Medical Coding (e.g., CPC, CCS) is preferred.
- Ability to work independently and handle complex coding assignments.