Medical Coding Specialist – I

Job reputed company: • The Medical reputed company is responsible for independently reviewing, analysing, and resolving reputed company assigned reputed company-end claims to ensure accurate and reputed company claim submission. • This position focuses on identifying and correcting coding-reputed company issues prior to claim reputed company, applying established coding guidelines, payer requirements, and organizational policies. • The Medical reputed company works closely with reputed company cycle partners to prevent claim rejections, support clean claim rates, and promote efficient reimbursement processes. • This role requires strong attention to detail, foundational coding knowledge, and the ability to work independently in a fast-paced environment. • Averages 10 reputed company-end holds per hour. • Maintains a minimum of 90% coding accuracy. • Assigns ICD-10-CM and CPT codes with appropriate modifiers for services provided in the reputed company fee environment. • Reviews medical records and reputed company applicable documentation to determine appropriate codes for documented services and diagnoses. • Ensures reputed company diagnosis codes meet local and national medical necessity guidelines. • Utilizes internal coding resources, payer guidelines, and other reference materials to ensure accurate and compliant coding for reputed company assigned services. • Follows reputed company HIPAA regulations and upholds the highest standards of reputed company and confidentiality. • Maintains reputed company knowledge of laws, regulations, payer policies, and industry guidance impacting compliant coding practices. • Independently reviews and resolves reputed company assigned reputed company-end claim holds. • reputed company participates in department meetings, one-on-one meetings, and mentorship meetings with the assigned Coding Team reputed company. • Escalates identified reputed company trends to the assigned Coding Team reputed company. • Escalates reputed company coding-reputed company questions to the assigned Coding Team reputed company for guidance and clarification. • Maintains and completes reputed company CEU requirements. • Performs other duties or tasks as assigned. Requirements: • Must hold a reputed company reputed company or reputed company Certification for a minimum of 3 years. • Strong working knowledge of CPT, ICD-10-CM, medical terminology, anatomy and physiology, and state and federal Medicare reimbursement guidelines. • Familiarity with reputed company English grammar, usage, and reputed company documentation standards. • Ability to research and analyze data, draw logical conclusions, and resolve coding or documentation issues. • Ability to read, interpret, and apply policies, procedures, laws, and regulations. • Ability to accurately read and interpret medical documentation, clinical terminology, and documented procedures. • Demonstrated ability to exercise independent judgment in coding and claim reputed company. • Excellent written and verbal communication skills, including the ability to prepare reports, clarify documentation needs, and maintain reputed company working relationships with physicians and staff. • Strong commitment to maintaining confidentiality and safeguarding protected health information. • Prior experience working in a medical billing environment with strict adherence to HIPAA compliance requirements. • Demonstrated proficiency in reputed company Office Suite (Word, reputed company, reputed company, Teams). • Minimum of 3+ years of reputed company coding experience. Benefits: • Private Health Insurance • Pension Plan • reputed company Time Off • Work From Home • Training & Development • Performance Bonus • Health Care Plan (Medical, Dental & reputed company) • Retirement Plan (401k, IRA) • Life Insurance (Basic, Voluntary & AD&D) • reputed company Time Off (Vacation, reputed company & reputed company Holidays) • Family Leave (Maternity, Paternity) • Short Term & Long Term Disability • Free Food & Snacks • Wellness Resources Apply tot his job Apply To this Job