Medical Coder 2 Years Experience
3 days ago
Overview
Paradise Plus Polyclinic is seeking a detail-oriented and experienced Medical Coder to join our healthcare team. In this role, you will not only ensure accurate translation of medical documentation into standardized codes but also take a proactive role in the claim submission process, including resubmissions and denial management to optimize revenue cycle efficiency.
Key Responsibilities
- Medical Record Analysis:
Review patient charts and documentation to assign the appropriate diagnostic (ICD-10) and procedural (CPT/HCPCS) codes.
- Compliance:
Ensure that coding practices adhere to national, state, and local regulations as well as payer requirements.
- Collaboration:
Work closely with physicians, billing departments, and other healthcare professionals to resolve any discrepancies in medical documentation.
- Auditing:
Regularly audit records for accuracy and completeness, making corrections as needed.
- Documentation:
Maintain confidentiality of patient records and ensure that all coding data is accurately documented in the clinic's electronic health record (EHR) system.
- Claim Submission:
Prepare and submit claims to insurance companies accurately and in a timely manner, ensuring that all information complies with coding and billing guidelines.
- Claim Resubmission:
Handle the resubmission of claims when initial submissions are rejected or require additional information, working to minimize delays in reimbursement.
- Denial Management:
Review, investigate, and manage claim denials by identifying the root causes, appealing decisions when necessary, and collaborating with payers to resolve issues.
- Continuous Improvement:
Stay updated on evolving coding guidelines and changes in medical terminology, and actively participate in ongoing training or certification programs.
Qualifications
- Certification:
Must hold a valid medical coding certification (e.g., CPC, CCS, or similar).
- Experience:
A minimum of 1–2 years of experience in a medical coding role, preferably in a clinical or hospital setting, with exposure to claims processing and denial management.
- Technical Skills:
Proficiency in using electronic health records (EHR) systems and coding software.
- Knowledge:
In-depth understanding of ICD-10, CPT, and HCPCS coding systems along with familiarity with medical terminology.
- Communication:
Excellent written and verbal communication skills, with the ability to work collaboratively within a multidisciplinary team.
- Attention to Detail:
High level of accuracy and attention to detail in coding, documentation, and claims processing.
What We Offer
- Competitive Salary:
A compensation package that reflects the candidate's experience and skills.
- Work Environment:
A supportive and collaborative team environment within a reputable polyclinic.
Job Type: Full-time
Application Deadline: 30/03/2025
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