Certified Coder

Accurately code and abstract patient encounters, including diagnostic and procedural information, ensuring compliance with coding guidelines and regulations. Review and analyze medical records to identify documentation deficiencies and ensure that all necessary information is captured for reimbursement. Serve as a subject matter expert, providing guidance and support to other coding staff on best practices and coding conventions. Conduct audits of clinical documentation and coded data to validate that documentation supports services rendered for reimbursement and reporting purposes. Assign codes for reimbursement purposes, ensuring adherence to regulatory requirements and internal policies. Identify discrepancies, potential quality of care issues, and billing problems, and recommend corrective actions to prevent future coding errors. Assist in training and mentoring junior coding staff, providing ongoing education on coding practices and updates in regulations. Handle special projects as assigned, contributing to process improvements and operational efficiency.

Certification as a Medical Coder is required. Bachelor's degree in Health Information Management, Healthcare Administration, or a related field preferred. Previous experience in medical coding, preferably within a KPO or healthcare setting, is highly desirable.