Certified Medical Coder

Requirements

• In-depth understanding of coding and compliance rules and regulations
• Review and coding of healthcare services including primary care, lab/pathology, and podiatry
• Provide coding education to providers
• Research and communicate governmental and payer-specific rules and regulations
• Identify and communicate best practices based on provider documentation, insurance payer medical policies and CMS guidelines
• Work CCI/LMRP edits, claims manager rules and coding related denials
• Assist patients and staff with coding and pricing issues
• Perform chart audits to assess overall understanding of CMS guidelines and increase clinic reimbursement
• Maintain confidentiality
• Work independently and multi-task
• Strong analytical, grammatical, spelling and communication skills