Accurately code and abstract patient encounters, including diagnostic and procedural information, ensuring compliance with coding guidelines and regulations.
Review and analyze medical records to identify documentation deficiencies and ensure that all necessary information is captured for reimbursement.
Serve as a subject matter expert, providing guidance and support to other coding staff on best practices and coding conventions.
Conduct audits of clinical documentation and coded data to validate that documentation supports services rendered for reimbursement and reporting purposes.
Assign codes for reimbursement purposes, ensuring adherence to regulatory requirements and internal policies.
Identify discrepancies, potential quality of care issues, and billing problems, and recommend corrective actions to prevent future coding errors.
Assist in training and mentoring junior coding staff, providing ongoing education on coding practices and updates in regulations.
Handle special projects as assigned, contributing to process improvements and operational efficiency.
Required Skills and Qualifications:
Certification as a Medical Coder is required.
Strong knowledge of medical terminology, anatomy, and coding systems
Excellent analytical skills with attention to detail to ensure accuracy in coding.
Proficient in using electronic health record (EHR) systems and coding software.
Strong communication skills, both verbal and written, to effectively interact with healthcare providers and team members.
Ability to work independently and manage multiple priorities in a fast-paced environment.
Familiarity with healthcare regulations, compliance standards, and best practices in coding.
Education and Experience:
Bachelor’s degree in Health Information Management, Healthcare Administration, or a related field preferred.
Previous experience in medical coding, preferably within a KPO or healthcare setting, is highly desirable.