Role & responsibilities
- Assign ICD-10-CM, CPT, HCPCS codes for physician inpatient and outpatient encounters (not facility coding).
- Ensure correct sequencing and DRG/APC assignment.
- Apply Coding Clinic guidance, LCD/NCD coverage, and NCCI edits.
- Conduct coding audits, resolve documentation gaps, and initiate provider queries.
- Research payer-specific denial policies and prepare appeal-ready coding rationales.
Preferred candidate profile
- Certification: CPC, CCS, CIC, or COC.
- Solid proficiency in ICD-10-CM and CPT.
- Excellent understanding of medical terminology, anatomy, and physiology.