Job Summary:
We are seeking a skilled and detail-oriented Certified Professional Coder (CPC) to join our healthcare team. The CPC will be responsible for reviewing medical records, coding diagnoses, and assigning procedure codes in accordance with industry standards (including ICD-10, CPT, and HCPCS codes). This role plays a critical part in ensuring accurate billing and reimbursement, as well as supporting compliance with healthcare regulations.

Key Responsibilities:

• Medical Coding: Assign accurate ICD-10, CPT, and HCPCS codes to diagnoses, procedures, and treatments documented in medical records.
• Billing Support: Ensure proper coding for insurance billing and reimbursement, minimizing denials or errors.
• Compliance and Documentation: Adhere to all relevant coding guidelines, government regulations, and payer-specific requirements.
• Audit Support: Assist in internal and external audits by providing necessary coding documentation and explanations.
• Collaboration: Work closely with healthcare providers (physicians, nurses, and administrative staff) to clarify and verify documentation as needed.
• Maintain Records: Accurately maintain coding records and documentation to ensure compliance with privacy regulations (e.g., HIPAA).
• Continuing Education: Stay current with updates to coding guidelines, regulatory changes, and healthcare trends to ensure compliance and accuracy.

Qualifications:

• Certification: Current certification as a Certified Professional Coder (CPC) through the American Academy of Professional Coders (AAPC) or equivalent body.
• Experience: At least [X] years of experience in medical coding, preferably in [specific medical specialty if applicable].
• Technical Skills: Proficiency with coding software and Electronic Health Records (EHR) systems; familiarity with billing and practice management software.
• Knowledge: In-depth understanding of ICD-10, CPT, HCPCS, and medical terminology. Knowledge of insurance processes, including claims submission and denial resolution.
• Attention to Detail: High level of accuracy and attention to detail in coding medical records.
• Communication Skills: Strong written and verbal communication skills to effectively interact with providers, insurance companies, and other departments.
• Problem-Solving: Ability to resolve coding issues and discrepancies effectively.

Preferred Qualifications:

• Specialty Expertise: Experience coding for specific specialties (e.g., cardiology, orthopedics, dermatology) is a plus.
• Additional Certification: Additional certifications such as Certified Coding Specialist (CCS) or Certified Inpatient Coder (CIC) are beneficial.
• Education: Associate's degree or higher in Health Information Management or related field is preferred.

Medix is acting as an Employment Agency in relation to this vacancy.