Professional Coding Specialist II - Edits
Core
Review medical records to assign ICD-10, CPT, and modifier codes for diagnosis and procedures, ensuring accurate reimbursement and compliance.
Role type
Medical Coding Specialist
Builds
Clean bills and accurate coding assignments for hospital and outpatient encounters
Domain
Healthcare / Medical Coding
Required skills
ICD-10 coding, CPT coding, medical terminology, anatomy and physiology knowledge, audit analysis, provider communication
Preferred skills
Physician office coding experience, multiple specialty experience
Technologies
ICD-10, CPT, modifier codes
Responsibilities
Review medical records to identify diagnoses and procedures and assign appropriate codes; Ensure quality and timely coding and charging for assigned specialty areas; Contact physicians to obtain information for accurate coding; Monitor provider documentation and perform audits to assess coding accuracy; Assist in resolving problem patient accounts for claim development.