Medical Coder

Job Description:

Key Responsibilities

• Review and audit clinical documentation and medical notes for accuracy and completeness.
• Assign appropriate CPT, ICD-10-CM, and HCPCS codes based on provider documentation.
• Ensure accurate coding in accordance with official coding guidelines and payer requirements.
• Identify coding errors, discrepancies, and missing documentation.
• Verify that medical notes support the assigned codes and billed services.
• Perform regular audits to ensure coding accuracy and compliance.
• Review evaluation and management (E/M) codes and ensure appropriate level selection.
• Communicate coding discrepancies and provide feedback to relevant teams.
• Maintain confidentiality of patient information in compliance with HIPAA regulations.
• Stay updated on CPT code changes, coding guidelines, and industry updates.

Medical Charge Entry -Biller with 3-4 years of experience.

Key Responsibilities:

- Accurately enter patient charges based on clinical documentation.

- Review medical notes, superbills, and charge tickets for completeness.

- Verify CPT, HCPCS, and ICD-10-CM codes.

- Ensure accurate entry of units, modifiers, and service dates.

- Identify and resolve charge discrepancies and missing information.

- Review charges before claim submission.

- Follow payer-specific billing and compliance guidelines.

- Coordinate with coding, billing, and clinical teams.

- Maintain HIPAA compliance and meet accuracy/productivity targets.

- Understanding of medical terminology and clinical documentation.

- Experience with EHR/EMR and billing software.

- Knowledge of modifiers, units, and payer requirements.