Job Description

Role & responsibilities : Review and analyze medical records, prescriptions, and other documentation to assign appropriate codes. Assign correct HCPCS, CPT, and ICD-10 codes for DME items. Ensure coding accuracy and compliance with federal, state, and payer-specific guidelines. Collaborate with billing and insurance teams to resolve coding discrepancies. Review claims for accuracy before submission to insurance companies. Stay updated on coding changes, reimbursement policies, and regulatory guidelines. Provide support for audits and respond to queries from insurance carriers. Qualifications: High school diploma or equivalent; Associate's or Bachelor's degree in health information management or related field preferred. Certification as a Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) is highly preferred. Proven experience in medical coding, especially in DME or healthcare settings. Strong knowledge of HCPCS, CPT, and ICD-10 coding systems. Excellent attention to detail and analytical skills. Strong communication and problem-solving abilities. Skills: Proficiency in medical coding software and electronic health record (EHR) systems. Familiarity with insurance billing processes and reimbursement procedures. Ability to work independently and meet deadlines. Strong organizational and time management skills. Working Conditions: Office-based role with the possibility of remote work, depending on the employer. Regular interaction with healthcare providers, insurance companies, and internal teams.