As a Medical Coder, you will be responsible for reviewing and abstracting professional medical records to ensure accurate code assignment. You'll play a critical role in maintaining our coding quality, compliance, and productivity standards.
You will review and abstract professional medical records, including provider notes, encounters, and supporting documentation, assigning ICD-10-CM, CPT, HCPCS, and applicable modifiers accurately, following national and payer-specific coding guidelines.
Certification: Active AAPC (e.g., CPC, COC) or AHIMA (CCS-P, CCS) certification with a minimum 3 years of Pro-Fee coding experience is required. Strong understanding of HCC / risk adjustment coding principles is needed with excellent command of medical terminology, anatomy, physiology, pathophysiology, disease progression, and pharmacology and deep familiarity with CPT, ICD-10-CM, HCPCS, and modifier assignment. Ability to work independently and maintain productivity in a remote setting, along with strong communication and problem-solving skills, proficiency in EHR systems, encoder/coding software, and Google tools, are all key.