Medical Coder

Position Overview

Roles & Responsibilities

• Review outpatient medical records and assign accurate ICD-10-CM, CPT, and HCPCS codes.
• Ensure coding is compliant with CMS, AMA, NCCI edits, and payer-specific guidelines.
• Code charts for outpatient services such as OPD visits, diagnostic services, minor procedures, therapy, labs, and radiology.
• Validate medical necessity and ensure alignment between documentation and assigned codes.
• Collaborate with providers to clarify documentation and improve accuracy.
• Work with billing and AR teams to resolve coding-related denials and support appeals.
• Conduct periodic self-audits to maintain high accuracy levels.
• Stay updated with coding rules, annual guideline updates, and regulatory changes.

Skills Required

• Strong knowledge of outpatient coding rules and guidelines.
• Expertise in ICD-10-CM, CPT, HCPCS Level II, and E/M outpatient guidelines.
• Hands-on experience with EHR/EMR systems and coding platforms.
• Ability to read and interpret provider documentation accurately.
• Good understanding of outpatient billing workflow and payer policies.
• Strong analytical and problem-solving skills.
• Excellent communication and attention to detail.

Preferred Certifications

• CPC (Certified Professional Coder).
• COC (Certified Outpatient Coder).
• CCS (Certified Coding Specialist).
• CCS-P (Certified Coding Specialist – Physician-based).

Availability

• Candidates should be immediately available, serving notice period, or able to join within one week.

Requirements Added by Job Poster

• 3+ years of work experience with CPT Coding.
• 3+ years of work experience with ICD-10-CM.