Ensures high-quality documentation that is thorough, accurate, and complete to support correct reimbursement capture. Assigns diagnostic and procedure codes to records ranging from simple to highly complex. Supports accurate health information management through consistent coding practices aligned with regulatory requirements.
- Reviews charts and complete medical records and assigns ICD and CPT code combinations.
- Audits documentation and queries clinical staff to clarify missing, incomplete, or conflicting information.
- Communicates with physicians to obtain clarification for correct coding.
- Applies ICD-10-CM and CPT classification systems for diagnostic, procedural, and complication coding.
- Maintains coding accuracy of 90% or better and meets productivity standards.
- Follows coding conventions, regulations, compliance standards, and reimbursement policies.
- Participates in coding training and supports coding policy and procedure development.
- Mentors and assists other coders and helps coordinate work quality through regular audits.
- Collaborates with patient financial services on coding and billing edits.
Requirements & Qualifications
- High School Diploma or GED required.
- 1 year of ICD-1 coding experience in a medical practice preferred.
- CPC or COC certification from AAPC required upon hire.
- Must provide AAPC certification number on the application or resume.
- Strong knowledge of ICD-10-CM and CPT coding systems.
- Ability to review and code medical records accurately and efficiently.
- Ability to communicate effectively with clinical staff and physicians.
Location
Virginia, US
Employment Type
Full-time
Experience Level
Entry Level
Remote work allowed
Yes
Posted
4 weeks ago
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