Certified Medical Coder

We are seeking a detail-oriented and experienced Certified Medical Coder to join our client's healthcare team. The Certified Medical Coder will be responsible for reviewing and coding patient medical records to ensure that healthcare claims are processed accurately and efficiently. This role requires knowledge of ICD-10, CPT, and HCPCS coding systems, along with an understanding of healthcare regulations and insurance billing procedures.

Key Responsibilities:

• Accurately review patient medical records and assign appropriate ICD-10, CPT, and HCPCS codes to diagnoses, procedures, and treatments.
• Ensure that coded data is correctly submitted for insurance claims, adhering to payer-specific guidelines and medical coding standards.
• Maintain strict adherence to healthcare regulations, including HIPAA, and ensure the accuracy of coding to minimize claim denials and audit risks.
• Work closely with physicians, nurses, and other healthcare staff to clarify any discrepancies in documentation and ensure proper coding.
• Conduct regular audits to ensure coding accuracy and identify areas for improvement in documentation practices.
• Stay updated with changes in medical coding guidelines, insurance policies, and healthcare regulations to maintain certification and improve coding practices.
• Assist the billing team by providing accurate codes for patient billing and insurance submissions.

Qualifications:

• Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) certification required.
• Proven experience in medical coding, with a strong understanding of ICD-10, CPT, and HCPCS coding systems.
• Familiarity with medical terminology, anatomy, and healthcare procedures.
• Strong attention to detail, organizational skills, and ability to work under pressure.
• Excellent communication skills, both written and verbal, to effectively collaborate with healthcare providers.
• Knowledge of medical billing practices and healthcare insurance policies.
• Ability to maintain confidentiality and comply with HIPAA regulations.

Please apply at www.fuse3solutions.com for immediate consideration. 

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