Responsible for accurately reviewing, coding, and submitting medical claims while ensuring compliance with federal regulations and payer requirements.
- Review provider documentation for completeness and accuracy.
- Assign appropriate ICD-10-CM, CPT, and HCPCS codes for clinic services.
- Ensure coding complies with payer regulations and coding guidelines.
- Work closely with providers and clinical staff to clarify documentation as needed.
- Assist with claim edits, denials, and coding-related questions.
- Maintain patient confidentiality and comply with HIPAA regulations.
- Stay current on coding changes, payer updates, and industry standards.
- Perform other duties as assigned to support clinic operations.
Requirements & Qualifications
- High school diploma or equivalent required.
- Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or equivalent certification preferred.
- Previous medical coding experience in a clinic or physician office setting preferred.
- Knowledge of ICD-10-CM, CPT, HCPCS, and medical terminology.
- Familiarity with electronic health records (EHR) and practice management systems.
- Strong analytical, organizational, and communication skills.
- Ability to work independently while contributing as a member of the healthcare team.
Location
Nebraska, US
Employment Type
Full-time
Experience Level
Entry Level
Remote work allowed
No
Posted
3 weeks ago
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