Medical Billing and Coding

• Review ambulatory medical records for multi-specialty provider organizations to ensure billed codes are accurately supported by clinical documentation
• Interpret medical record data into language payers can interpret to process physician charges
• Ensure coding complies with all coding guidelines
• Assign appropriate ICD-10 diagnosis codes and CPT/HCPCS procedure codes based on medical documentation, physician notes, and other information
• Complete coding in a timely manner to meet billing deadlines
• Assist in resolving incomplete or missing documentation to expedite billing
• Communicate with healthcare providers to clarify coding questions and concerns
• Perform claim edit corrections and denial reviews related to coding errors
• Identify coding or documentation trends that may pose a risk to revenue and report them to management
• Stay current with coding and documentation guidelines, compliance policies, annual coding updates, payer policies, and industry changes
• Perform other duties as assigned
• Report to the Director of Revenue Integrity

Explore Outpatient Coder at Community Care Cooperative (C3). Review requirements and application details.