Coder - Professional - MHMG- 19/10

Job Description

Primary Responsibilities:
Review and accurately assign E/M codes for outpatient, inpatient & surgery physician services in accordance with current coding guidelines.
Ensure compliance with CPT, ICD-10-CM, CMS, and payer-specific regulations.
Analyze medical documentation to determine the appropriate level of service based on Medical Decision Making (MDM), time, and other applicable guidelines.
Conduct coding audits and provide feedback to providers when necessary.
Maintain productivity and quality standards established by the organization.
Required Qualifications:
Strong knowledge of Outpatient & Inpatient Evaluation and Management (E/M), Surgery coding guidelines & ED.
Proficiency in CPT, ICD-10-CM, and healthcare documentation requirements.
Experience coding physician/professional fee services.
Ability to interpret clinical documentation and apply coding guidelines accurately.
Should be certified from AAPC/AHIMA
Preferred Qualifications:
Working knowledge of OP, Inpatient Evaluation and Management (E/M), surgery & ED coding.
Experience with both outpatient and inpatient physician coding with surgery.
Familiarity with CMS and specialty-specific coding guidelines.