Responsible for reviewing, analyzing, and coding procedural information that determines Medicare, Medicaid, and private insurance payments. Ensures compliance with established coding guidelines, third-party reimbursement policies, regulations, and accreditation standards.
- Reviews medical records for documentation completeness and validity
- Assigns ICD-10-CM, CPT, and HCPCS codes accurately
- Codes charges for assigned departments including Internal Medicine, Surgery, Ophthalmology, OB/GYN, and Pulmonary
- Communicates with providers to clarify incomplete, ambiguous, or conflicting documentation
- Collaborates with management regarding documentation issues and recurring errors
- Uses software applications and information systems to support coding activities
Requirements & Qualifications
Minimum Qualifications
- Recognized certification as CPMA, CPC, or CCS-P
- Formal coding program plus coding certification may be considered in lieu of prior professional coding experience
- Background in a medical environment
- Extensive knowledge of medical terminology
- Understanding of federal and state rules and regulations related to physician billing preferred
Core Competencies
- Expert knowledge of ICD-10-CM, CPT, and HCPCS coding systems
- Knowledge of medical terminology, anatomy, and physiology
- Working knowledge of Medicare, Medicaid, and commercial payer reimbursement policies
- Familiarity with HIPAA and applicable billing regulations
- Strong accuracy, attention to detail, analytical skills, and critical thinking
Benefits & Perks
Benefits and Perks
- Comprehensive medical, dental, and vision insurance
- Mental health support
- PTO and paid holidays
- Flexible work arrangements
- Competitive salary
- 403(b) with company match
- Ongoing training and tuition reimbursement
- Career advancement opportunities
- Wellness programs
- Commuter benefits
Location
Washington, District of Columbia, US
Employment Type
Full-time
Experience Level
Entry Level
Salary Range
$53,000 - $57,000
Remote work allowed
No
Posted
3 weeks ago
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