Medical Coding Specialist

The Medical Coding Specialist is responsible for translating healthcare services and diagnoses into universally recognized codes for billing and documentation purposes. This role is crucial for ensuring accurate and efficient medical billing, which directly impacts revenue cycle management within an organization. The specialist collaborates closely with healthcare providers, nurses, and administrative teams to ensure compliance with coding standards, thus safeguarding the organization's financial health and regulatory standing.

• •Code Assignment

  Analyzing patient health records and assigning appropriate medical codes for diagnoses, procedures, and services performed, ensuring accuracy and adherence to coding guidelines.

• •Data Entry and Management

  Inputting coded data into electronic health record systems with precision. Maintaining strict confidentiality while ensuring data integrity and security are consistently upheld.

• •Insurance Billing Guidance

  Collaborating with billing personnel to ensure coded data supports proper insurance claims processing. Troubleshooting claim discrepancies related to coding issues.

• •Compliance Assurance

  Ensuring all coding practices adhere to updated healthcare regulations, including HIPAA, ICD-10, CPT, and CMS guidelines, minimizing risks of audits or penalties.

• •Professional Development

  Staying current with coding updates and industry trends. Attending workshops, pursuing certifications such as CCA or CCS, and participating in professional coding communities.

• •Reporting and Analysis

  Generating reports and analyses based on coded data to support healthcare management in decision-making processes, identifying trends and potential areas for improvement.

• •Collaboration and Communication

  Working closely with healthcare providers to clarify documentation issues, ensuring complete and accurate coding. Facilitating internal education on coding standards.

• •Certified Professional Coder (CPC) designation required
• •2+ years of experience in medical coding or billing
• •Familiarity with ICD-10, CPT, and HCPCS coding systems
• •Strong attention to detail and analytical skills
• •Proficient with electronic health record (EHR) systems