Medical Coder and Biller

Review physician documentation and medical records to assign accurate ICD-10-CM, CPT, HCPCS Level II, and revenue codes.

Ensure coding accuracy and compliance with CMS, Medicare, Medicaid, commercial payer, and regulatory guidelines.

Perform coding edits and resolve claim issues to support timely reimbursement.

Collaborate with providers and clinical staff to obtain appropriate documentation and coding clarification.

Identify missed charges, coding discrepancies, and revenue opportunities while maintaining compliance.

Support denial prevention efforts by identifying trends and recommending corrective actions.

Maintain productivity and quality benchmarks established by the organization.

Participate in coding audits, education, and continuous process improvement initiatives.

Stay current with coding updates, payer policies, and industry best practices.

Must be experienced in facility coding as well as professional coding.