Robert Half is seeking a skilled and detail-oriented Medical Coder to join our healthcare team. The Medical Coder will play a critical role in ensuring the accuracy and integrity of medical coding and billing processes, which are essential for proper patient care, reimbursement, and compliance with regulatory requirements.
Responsibilities:
Assign appropriate ICD-10, CPT, and HCPCS codes to diagnoses, procedures, and services based on medical records and documentation.
Review clinical documentation to ensure it supports the assigned codes and accurately reflects the patient's condition and treatment.
Stay updated on the latest coding guidelines, regulations, and industry best practices.
Collaborate with the billing department to ensure accurate claims submission and reimbursement.
Verify that coded information is consistent with payer-specific requirements.
Address coding-related denials and work to resolve billing issues.
Conduct regular coding audits to assess the accuracy and compliance of coding practices.
Provide feedback and education to healthcare providers and staff to improve documentation and coding accuracy.
Maintain records of audit results and compliance activities.
Identify areas where clinical documentation may be incomplete or insufficient for coding purposes.
Work with healthcare providers and clinical staff to clarify documentation and improve accuracy.
Ensure coding practices adhere to all relevant laws, regulations, and coding guidelines, such as HIPAA and CMS regulations.
Participate in compliance audits and support the development of compliance programs.
Generate and analyze reports related to coding accuracy, revenue, and compliance.
Provide reports to management and other stakeholders as needed.
Stay current on coding updates and trends through continuous education and training.
Provide coding training and education to clinical and administrative staff as necessary.
Requirements
Qualifications:
Certified Professional Coder (CPC) or equivalent coding certification required.
Minimum of 3-5 years of experience in medical coding.
Strong knowledge of ICD-10, CPT, and HCPCS coding systems.
Proficiency in using coding software and electronic health records (EHR) systems.
Exceptional attention to detail and accuracy in coding and data entry.
Ability to work independently and in a team-oriented environment.
Strong communication skills, both written and verbal.
Familiarity with medical terminology, anatomy, and physiology.
Compliance-oriented mindset with knowledge of healthcare regulations.
Strong analytical and problem-solving skills.
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