Clinical Documentation Specialist
2 semanas atrás
The Coding Specialist is responsible for reviewing clinical documentation and accurately assigning medical codes for diagnoses, procedures, and services.
This involves ensuring compliance with coding guidelines, optimizing reimbursement, and supporting efficient revenue cycle operations.
Main Responsibilities:
- Assign accurate medical codes using ICD-10, CPT, and HCPCS guidelines.
- Maintain coding compliance with federal, state, and payer regulations.
- Collaborate with physicians and billing teams to clarify documentation and resolve discrepancies.
- Stay updated on coding changes, regulations, and payer requirements.
- Participate in audits and quality assurance activities to minimize claim denials.
Required Skills and Qualifications:
- Strong knowledge of medical terminology, anatomy, and physiology.
- Proficient in EMR/EHR systems and Microsoft Office Suite.
- Excellent attention to detail, accuracy, and organizational skills.
- Preferred: Certification as a CPC or equivalent credential.
Job Requirements:
- Review and assign accurate medical codes.
- Maintain coding compliance.
- Collaborate with healthcare teams.
- Stay updated on coding changes.
- Participate in quality assurance activities.
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