Medical Coding Specialist

4 weeks ago


Pottstown, Pennsylvania, United States Community Health and Dental Care, Inc. Full time
Job Summary:

Certified Professional Coder is responsible for reviewing health care encounters to identify coding accuracy to enhance maximum quality improvement reimbursement from insurance companies and government healthcare programs. This role requires a strong understanding of ICD-10, CPT, and HCPCS code sets, as well as the ability to analyze and correct coding errors. The ideal candidate will have a Certified Professional Coder (CPC) certificate and experience in a medical office setting.

Key Responsibilities:

Review encounters daily to abstract relevant clinical information and assign appropriate medical codes
Make corrections to encounters that need external codes, diagnosis specificity, BMI coding, and Medicare Wellness coding
Verify CPTII codes are applied to encounters prior to submission
Utilize specialized healthcare software tools to assign procedure and diagnosis codes
Review claims data to ensure assigned codes meet regulatory requirements and insurance rules
Collaborate with healthcare providers to review and analyze patient medical records and assign appropriate ICD-10 codes

Requirements:

High School Diploma required
Certified Professional Coder (CPC) certificate and Health Information Systems
1 or more years' experience in a medical office setting
Familiarity with HCC coding rules preferred

What We Offer:

Community Health and Dental Care, Inc. is a non-profit community health center that provides high-quality health and dental care to our patients. We offer a competitive salary, medical insurance, and a range of benefits to our employees. If you are a detail-oriented and organized individual with a passion for healthcare, we encourage you to apply for this exciting opportunity.

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