Medical Biller/ Coder

Reviewing clinical documentation and diagnostic results to ensure accurate CPT and ICD-10 coding. Validating medical necessity and ensuring coding aligns with CMS and payer-specific guidelines. Processing charge captures and reviewing billing system edits to prevent claim denials. Collaborating with providers and billing teams to clarify documentation or coding inconsistencies. Identifying coding trends, resolve payer denials, and provide recommendations for improvement. Assisting with provider education on documentation and coding compliance. Maintaining production standards and report daily coding productivity and quality metrics.