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Title
Text copied to clipboard!Medical Coding Specialist
Description
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We are looking for a detail-oriented Medical Coding Specialist to join our healthcare team. The Medical Coding Specialist is responsible for reviewing clinical statements and assigning standard codes using CPT, ICD-10-CM, and HCPCS Level II classification systems. This role ensures that medical records are accurately coded for billing, insurance claims, and data analysis purposes. The ideal candidate will have a strong understanding of medical terminology, anatomy, and healthcare procedures, as well as a keen eye for detail and accuracy. The Medical Coding Specialist collaborates closely with physicians, nurses, and billing staff to ensure that all documentation is complete and compliant with federal regulations and insurance requirements. Key responsibilities include analyzing patient charts, assigning appropriate codes, resolving coding discrepancies, and maintaining patient confidentiality. The successful candidate will be expected to stay current with coding guidelines and industry updates, participate in audits, and provide feedback to improve documentation quality. This position requires excellent organizational skills, the ability to work independently, and a commitment to maintaining the highest standards of accuracy and integrity in all coding activities.
Responsibilities
Text copied to clipboard!- Review and analyze patient medical records for coding accuracy
- Assign appropriate CPT, ICD-10-CM, and HCPCS codes to diagnoses and procedures
- Ensure compliance with federal regulations and insurance requirements
- Collaborate with healthcare providers to clarify documentation
- Resolve coding discrepancies and denials
- Maintain patient confidentiality and data security
- Stay updated on coding guidelines and industry changes
- Participate in internal and external coding audits
- Assist in training new coding staff as needed
- Support billing and reimbursement processes
Requirements
Text copied to clipboard!- High school diploma or equivalent; associate degree preferred
- Certification as a medical coder (CPC, CCS, or equivalent)
- Strong knowledge of medical terminology and anatomy
- Experience with CPT, ICD-10-CM, and HCPCS coding systems
- Attention to detail and high level of accuracy
- Excellent organizational and time management skills
- Ability to work independently and as part of a team
- Strong communication and interpersonal skills
- Proficiency with electronic health records (EHR) systems
- Commitment to maintaining patient confidentiality
Potential interview questions
Text copied to clipboard!- What certifications do you hold in medical coding?
- How many years of experience do you have as a medical coder?
- Are you familiar with CPT, ICD-10-CM, and HCPCS coding systems?
- Describe your experience with electronic health records (EHR) systems.
- How do you ensure accuracy and compliance in your coding work?
- Can you provide an example of resolving a coding discrepancy?
- How do you stay updated with changes in coding guidelines?
- What steps do you take to maintain patient confidentiality?
- Have you participated in coding audits before?
- Are you comfortable working independently and meeting deadlines?
