- Review and analyze patient medical records, physician documentation, operative notes, and diagnostic reports to determine accurate diagnosis and procedure coding.
- Assign appropriate ICD-10-CM, CPT, HCPCS Level II, and applicable modifiers based on current coding guidelines.
- Ensure coding accuracy, completeness, compliance, and appropriate sequencing in accordance with CMS, AMA, payer, and client-specific guidelines.
- Perform coding audits and quality checks to maintain defined accuracy and productivity standards.
- Review coding-related denials, identify root causes, and recommend corrective and preventive actions.
Preferred candidate profile Experience in one or more specialties such as PCP related coding, ED/E&M;, Surgery, Cardiology, Gastroenterology, Neurology, Orthopedics, Oncology, or HCC/Risk Adjustment