Medical Billing and Coding

• Review patient medical records, provider documentation, and encounter forms
• Assign accurate ICD-10-CM, CPT, and HCPCS Level II diagnosis and procedure codes
• Ensure compliance with CMS, Medicare, Medicaid, commercial payer, and regulatory requirements
• Audit medical records for completeness, accuracy, and documentation deficiencies
• Communicate with providers about coding clarifications and documentation improvement
• Identify and resolve coding-related claim denials and rejections
• Maintain organizational productivity and quality standards
• Stay current with coding updates, payer policies, and industry regulations
• Assist with internal coding audits and compliance reviews
• Collaborate with billing, collections, and revenue cycle teams to optimize reimbursement
• Participate in ongoing coding and compliance education and training
• Maintain patient-information confidentiality in accordance with HIPAA regulations

Medical Coder

• Review medical records via PDF or electronic medical record system
• Abstract and assign CPT/HCPCS, ICD, and modifier codes
• Research and resolve assigned coding projects
• Document requested information from medical records
• Determine valid encounters, including legibility and valid signature requirements
• Identify valid face-to-face encounters
• Analyze medical record charts for coding compliance
• Validate coding against payor guidelines and client coding protocols
• Meet daily production goals and maintain an average 95% accuracy rate consistently
• Attend conference calls as necessary to provide information and feedback

Medical Billing and Coding jobs in Colorado

Medical Coder

HCC Risk Adjustment Coder