Job Description: Medical Coder with Medical Audit Experience- Position Overview: We are seeking a detail-oriented and experienced Medical Coder with a strong background in medical auditing. The successful candidate will be responsible for accurately coding medical records, ensuring compliance with all applicable regulations, and conducting comprehensive audits to verify the accuracy of coding practices. This role requires a thorough understanding of medical terminology, coding guidelines, and audit procedures.
Review and analyze medical records to assign appropriate ICD-10, CPT, and HCPCS codes for diagnoses, procedures, and services.- Ensure all coding is accurate, complete, and compliant with federal and state regulations, as well as payer-specific guidelines.
Conduct regular audits of coding practices to identify discrepancies, trends, and areas for improvement.
- Provide feedback and training to coding staff to enhance accuracy and compliance.
Collaborate with healthcare providers to clarify diagnoses and procedures for accurate coding.- Maintain up-to-date knowledge of coding changes, updates, and best practices.
Prepare detailed audit reports and present findings to management, including recommendations for corrective actions.
- Assist in the development and implementation of coding policies and procedures.
Participate in continuous quality improvement initiatives related to coding and documentation practices.- Resolve coding issues and discrepancies identified through audits or payer inquiries.
Support the billing department in resolving coding-related claim denials and appeals.
Certification as a Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or equivalent.
- A minimum of 3-5 years of medical coding experience, including experience in medical auditing.
In-depth knowledge of ICD-10, CPT, HCPCS coding systems, and medical terminology.- Strong analytical skills with the ability to identify trends and discrepancies in coding practices.
Excellent communication skills, both written and verbal, with the ability to provide clear feedback and training.
- Proficiency in using coding software, electronic health records (EHR), and auditing tools.
High level of accuracy and attention to detail.- Ability to work independently and as part of a team.
Familiarity with payer-specific coding requirements and regulations.
- Strong organizational skills and the ability to manage multiple tasks and deadlines.
- Preferred Qualifications:
Experience in a healthcare setting such as a hospital, clinic, or physician's office.
- Advanced certification in medical auditing (e.g., Certified Professional Medical Auditor - CPMA).
Knowledge of Medicare and Medicaid coding guidelines.
Job Type: Full-time
Pay: Php60,- 00 - Php70,000.00 per month
Benefits: - Paid training
Schedule: Afternoon shift
Monday to Friday Weekends
