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Review medical records and assign accurate diagnostic and procedural codes in accordance with coding standards and organizational policies. Clarify documentation with providers, resolve discrepancies, support claims billing, audit coded data, and monitor quality and productivity while training staff.
Reviews and analyzes medical records to assign appropriate diagnostic and procedural codes in compliance with established coding guidelines and organizational policies. Collaborates with healthcare providers to clarify documentation and resolves coding discrepancies, ensures the integrity of coded data for billing and reporting purposes. Maintains current knowledge of coding standards such as ICD, CPT, and HCPCS, and supports the billing department by providing precise coded information for claims submission. Includes auditing coded data, training staff on coding procedures, and monitoring coding productivity and quality metrics to enhance departmental performance.
Education Qualifications:
High School Diploma.
Certified Professional Coder (CPC) certification required at time of hire.
Minimum Qualifications
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