Multi-Specialty Profee and/or Facility Medical Coder
Core
Analyze and interpret complex medical records to identify and accurately bill for services using ICD-10 and CPT/HCPCS codes, ensuring compliance with third-party payor requirements.
Role type
Senior medical coder (multi-specialty and facility)
Builds
Accurate medical billing claims and resolved payer denials
Domain
Healthcare administration and medical billing
Required skills
ICD-10 coding, CPT/HCPCS coding, claim denial resolution, payer guideline interpretation, inpatient/outpatient coding, facility coding (Clinics, Lab/Radiology, ED, OBS, SDS, Inpatient), injection/infusion coding
Preferred skills
Multi-specialty practice background
Technologies
ICD-10, CPT, HCPCS
Responsibilities
Assign and sequence billing codes in compliance with third-party payor requirements, obtain clarification for conflicting or non-specific documentation, review coding-related denials from payors and make recommendations to resolve claims based on payer guidelines
Seniority
Mid-level, hands-on IC
