Job Description

Job Description

Job Description

About Us:

We are a service-based company and as a licensed Third-Party Administrator, we are seeking only top talent and experienced personnel in order to meet and exceed our client's expectations. We’re an innovative company creating a unique experience for healthcare professionals. While many industry-wide solutions exist, nothing comes close to our ground-breaking approach.

Responsibilities:

• Conduct quality assurance audits to ensure coding accuracy and compliance.
• Assign and sequence ICD-10, CPT, and HCPCS codes to diagnoses and procedures.
• Ensure codes are accurate and compliant with government and insurance regulations.
• Review clinical documents, medical records, and patient charts for correct coding.
• Ensure coding is timely, accurate, and compliant with healthcare guidelines.
• Collaborate with healthcare providers and administrative staff to resolve coding discrepancies.
• Prepare and submit coded data for insurance claims, addressing any claim denials or issues.
• Stay updated on coding changes, medical terminology, and regulatory updates.
• Follow up with providers on insufficient or unclear documentation.
• Communicate with staff regarding documentation needs.
• Research complex or unusual coding cases.
• Review patient charts and documents for accuracy.
• Ensure all codes are current and active.

Benefits

• Excellent health and dental insurance coverage
• Free vision, life, and hospital gap insurance
• 12 paid holidays
• Paid Time Off
• 401K with company match up to 4%

Requirements:

• High school diploma or equivalent (required); Certification in medical coding (e.g., CPC, CCS, or equivalent) is preferred.
• Previous experience in medical coding or a related healthcare field is a plus.
• Strong knowledge of ICD-10, CPT, and HCPCS coding systems.
• Familiarity with medical terminology, anatomy, and clinical procedures.
• Attention to detail and accuracy in coding and documentation.
• Ability to communicate effectively with healthcare providers and insurance companies.
• Knowledge of HIPAA and other healthcare privacy regulations.
• Knowledge of Microsoft Excel, Word, Outlook and Teams software.

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