- CPC/CCS or equivalent certified
- Minimum 7–8 years of coding experience with at least 1–2 years in a Quality role
- Experience in [specialty: E/M, ED, IPDRG, Radiology, etc.] preferred
- Strong understanding of ICD-10, CPT, HCPCS, and modifiers
- Excellent knowledge of coding compliance and payer-specific rules
- Team management and leadership skills
- Ability to analyze trends and suggest improvements
- Valuable communication and reporting skills
- Fact coding & Content coding based
Key Responsibilites :
- Perform regular audits and ensure compliance with coding guidelines (CPT, ICD-10, HCPCS)
- Provide training and mentoring to junior coders
- Resolve coding-related queries and denials
- Maintain coding accuracy and productivity benchmarks
- Prepare performance reports for team members
- Attend client calls and meetings when necessary