Key Responsibilities: Review and interpret operative and clinical documentation to determine appropriate CPT, ICD-10-CM, and HCPCS codes for all surgical procedures. Assign correct modifiers and ensure codes are compliant with payer-specific and NCCI (National Correct Coding Initiative) guidelines. Validate that documentation supports all coded diagnoses and procedures. Query physicians or surgeons for clarification when documentation is incomplete or unclear. Work collaboratively with the billing, compliance, and revenue cycle teams to resolve coding-related claim denials. Stay current with coding regulations, payer guidelines, and official coding updates (CPT Assistant, ICD-10-CM, CMS, etc.). Meet productivity and accuracy benchmarks as set by the organization. Participate in regular coding audits and implement feedback to maintain high-quality standards. Maintain confidentiality and adhere to HIPAA regulations at all times.
An HCC (Hierarchical Condition Category) job description for a medical coder typically involves reviewing medical records to assign accurate ICD-10-CM codes for risk adjustment, ensuring compliance with coding guidelines, and collaborating with healthcare providers for documentation clarification . Key responsibilities include maintaining patient information confidentiality and managing patient information. Requirements often include knowledge of medical terminology, strong analytical skills, and proficiency with coding software. Certifications like CPC , CRC , or CIC are often preferred or required. Job Responsibilities Review and analyze medical records : Read charts and other patient documentation to identify all diagnoses and treatments. Assign codes : Accurately assign appropriate diagnostic codes (ICD-10-CM) for risk adjustment purposes. Ensure compliance : Adhere to all coding guidelines, regulations, and standards, such as those set by CMS. Collaborate with providers : Work with physicians and other healthcare providers to clarify any confusing or incomplete documentation. Maintain confidentiality : Handle patient information in accordance with healthcare regulations. Provide feedback : Offer feedback and support to healthcare providers on clinical documentation and coding guidelines.
Job description Jobs in "HOME HEALTH Coding" Roles and Responsibilities Code home health visits accurately using CPT, ICD-10, HCPCS codes. Maintain confidentiality and adhere to HIPAA regulations. Desired Candidate Profile 1+ years of experience as a Home Health Coding Certification not Mandatory.
Job description Roles and Responsibilities: - Accurately code SDS and Special Procedures through review of medical record documentation and encounter forms for Outpatient facility Hands on experience in coding tools such as EPIC, 3M, Optum. Assign CPT procedure codes, ICD-10 diagnosis codes, and modifiers based on documentation, government teaching physician documentation requirements and LCD/NCD/ NCCI policies. Should have working experience in all Surgery procedures (10000-69990 CPT series) Good knowledge in Cardiac catheterization with 9xxxx series codes is an added advantage. Desired Candidate Profile: - Minimum of 1+ years of experience in SDS. Basic knowledge of medical terminology and anatomy. Comfortable to work from office. Effective verbal and written communication skills (Should have capability to reply properly to client and stakeholders. Successful completion of CPC or CCS certification must be active during joining and verified. Able to work independently and willing to adapt and change as per business/ process requirements.