Certified Coder

Key Responsibilities:

• 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.

• 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.