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Job Description

Key Responsibilities

  • Review and analyze patient medical records, physician notes, and clinical documentation.
  • Assign accurate ICD-10-CM, CPT, and HCPCS codes based on established coding guidelines.
  • Ensure coding accuracy and compliance with payer, client, and regulatory requirements.
  • Meet established productivity and quality benchmarks.
  • Identify documentation gaps and initiate provider queries when necessary.
  • Support denial analysis and provide coding-related clarification to revenue cycle teams.
  • Stay updated on coding regulations, payer policies, and industry changes.
  • Participate in internal audits and quality assurance initiatives.

Qualifications


  • Active CPC, CCS, or equivalent coding certification preferred.
  • Graduate of a Medical Allied course (e.g., Nursing, Medical Technology, Pharmacy, Physical Therapy) is an advantage.
  • At least 13 years of medical coding experience (level dependent).
  • Strong understanding of Revenue Cycle Management processes.
  • Familiarity with EMR/EHR systems and coding platforms.
  • Strong analytical skills with high attention to detail.
  • Ability to work in a fast-paced, performance-driven environment.

Preferred Experience


  • Experience supporting US healthcare accounts (payer or provider).
  • Exposure to inpatient, outpatient, emergency department, or specialty coding.
  • Background in denial management or audit support is a plus.

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About Company

Job ID: 145064935