Posted:3 weeks ago|
Platform:
Work from Office
Full Time
Job Summary: We are seeking a Certified Professional Coder (CPC) to join our healthcare team. The CPC will be responsible for reviewing clinical documentation and coding diagnoses, procedures, and services accurately for billing and reimbursement purposes. The ideal candidate will have in-depth knowledge of medical coding standards and healthcare regulations. Key Responsibilities: Review and analyze patient medical records to assign appropriate ICD-10, CPT, and HCPCS codes for diagnoses, procedures, and services. Ensure compliance with federal regulations and insurance guidelines, including HIPAA. Collaborate with physicians and healthcare providers to clarify ambiguous documentation. Assist with coding audits and respond to insurance denials or coding inquiries. Maintain knowledge of coding guidelines and reimbursement reporting requirements. Ensure proper documentation to support assigned codes and billing for services rendered. Work with billing and revenue cycle teams to ensure timely and accurate claim submission. Participate in regular training sessions and maintain CPC certification status. Qualifications: CPC certification from the AAPC (American Academy of Professional Coders) required. Strong understanding of ICD-10-CM, CPT, and HCPCS Level II coding systems. Experience with EHR systems and coding software (e.g., Epic, Cerner, 3M, EncoderPro). Knowledge of Medicare, Medicaid, and private payer billing rules. Attention to detail and excellent analytical skills. Strong verbal and written communication skills.
WNS Holdings
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