This position exists to provide accurate and timely clinical data for billing and optimal reimbursement, quality assessment, comparative databases, physician profiling, and administrative purposes. This position is responsible for, but not limited to, physician coding, outpatient facility coding, or rectifying pre-bill coding related edits and coding related denials. CPT Coding Experts review medical records to assign accurate ICD-10-CM diagnoses and CPT/HCPCS procedure codes for surgical and observation encounters. They ensure documentation supports all coded services, apply correct modifiers, and follow official coding guidelines, NCCI edits, and payer rules. The role includes validating APC impacts, preventing denials, and meeting productivity and accuracy standards.
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Job Type
Full-time
Career Level
Mid Level
Industry
Hospitals
Education Level
High school or GED
Number of Employees
5,001-10,000 employees