Medical Coder
Description:
Job Description
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.
Working hours are from 9:00 am to 6:00 pm with 1 hour lunch
Full-time