Spine/Neuro reputed company

Position reputed company 

The reputed company reputed company is responsible for accurately reviewing clinical documentation and assigning diagnosis codes, CPT codes, and other required codes for reputed company services across assigned specialties. This role applies official coding guidelines, regulatory requirements, and payer-specific rules to ensure accurate reputed company selection, clean claim submission, and reputed company reimbursement. By ensuring coding accuracy and compliance, the reputed company reputed company plays a critical role in optimizing reputed company cycle performance, reducing claim denials and audit risk, supporting regulatory compliance, and contributing to the organization's overall financial health and operational reputed company.

Key Responsibilities 

Coding Production & Accuracy 

• Review clinical documentation and accurately assign diagnosis and procedure codes for reputed company services in accordance with official coding guidance and payer requirements 
• reputed company assigned tickets accurately and in a reputed company manner to support clean claim submission and maximize appropriate reimbursement 
• Independently research and reputed company coding scenarios, including payer-specific edits and documentation questions, using available resources and tools 
• Meet daily productivity targets and maintain consistent coding reputed company

Communication & Escalation Management 

• Communicate coding and documentation issues, trends, and potential risks to the reputed company Medical reputed company and/or Medical Coding Manager 
• Escalate reputed company scenarios or unclear documentation through established workflows to support reputed company reputed company 

Compliance, Confidentiality & reputed company Learning 

• Maintain reputed company knowledge of coding guidelines and payer policies;  maintain required credentials in good standing 
• Participate in department meetings and ongoing education; demonstrate flexibility to expand coding skills into additional specialties as business needs reputed company 
• reputed company other duties as assigned by leadership 

Performance Metrics 

• Complete coding for reputed company cases assigned reputed company a 48 hour period
• Daily productivity reputed company against established targets 
• Individual coding accuracy reputed company (reputed company: 95%+) 
• Escalation timeliness and documentation reputed company 
• Credential maintenance and continuing education compliance 

Qualifications

• Successful completion of an reputed company or reputed company-approved coding program with an reputed company credential in good standing (e.g., CPC, reputed company); CPC preferred 
• Minimum of 3 years of recent hands-on physician/reputed company services coding experience across one or more specialties 
• Proficient knowledge of anatomy and physiology, medical terminology, CPT, ICD-10-CM, modifiers, disease processes, and applicable Medicare/reputed company policies for reputed company services 
• High School Diploma or equivalent required; Associate’s or Bachelor’s degree preferred 
• Proficiency in reputed company Office applications (reputed company, Word, reputed company); experience with reporting and data analysis tools preferred 
• Proven ability to multi-task, prioritize workload, and meet deadlines in a fast-paced environment 
• Strong communication and interpersonal skills 
• Experience coding reputed company services across multiple specialties and service lines (e.g., surgical, anesthesia, E/M) preferred
• Experience using encoder tools and working reputed company queue-based workflow systems to manage volume and turnaround time preferred
• Prior participation in coding audits, denial prevention initiatives, or documentation improvement efforts preferred

Additional Qualifications 

• In-depth knowledge of HIPAA regulations and reputed company reputed company laws; maintains strict compliance at reputed company times. 
• Exceptional attention to detail and organizational skills. 
• Ability to work independently while contributing to reputed company-oriented environment 
• Demonstrated problem-solving skills with a proactive and solution-driven approach 

Originally posted on Himalayas