Medical Coder

Job Description

Job Description

Description:

Precision Healthcare Specialists is seeking an experienced and detail-oriented Certified Medical Coder to support our ENT & Allergy Specialists division. The Certified Medical Coder is responsible for accurately reviewing provider documentation and assigning appropriate diagnosis and procedure codes for otolaryngology, allergy, audiology, and related services. This role plays a critical part in ensuring coding accuracy, regulatory compliance, clean claim submission, and optimal reimbursement.

The ideal candidate will possess strong knowledge of ICD-10, CPT, and HCPCS coding guidelines, have experience coding specialty physician services, and demonstrate exceptional attention to detail in a fast-paced healthcare environment.

• Review and accurately code physician documentation, office visits, procedures, diagnostic testing, and surgical services.
• Assign ICD-10-CM, CPT, and HCPCS codes in accordance with payer guidelines and coding regulations.
• Code ENT-related procedures, including but not limited to endoscopies, laryngoscopies, sinus procedures, audiology services, allergy testing, immunotherapy services, and in-office procedures.
• Review operative reports and surgical documentation to ensure coding accuracy and appropriate reimbursement.
• Audit medical records to identify coding opportunities and documentation deficiencies.
• Communicate with providers regarding documentation clarification and coding education.
• Assist in resolving coding-related claim denials and reimbursement issues.
• Maintain compliance with Medicare, Medicaid, commercial payer guidelines, and federal regulations.
• Stay current on coding updates, payer policies, and specialty-specific coding changes.
• Collaborate with providers, clinical staff, billing personnel, and management to improve revenue cycle performance.
• Participate in internal audits, quality assurance initiatives, and compliance reviews.
• Maintain confidentiality and comply with HIPAA regulations.
• Perform additional duties as assigned.

• High School Diploma or equivalent required.
• Associate degree in Health Information Management, Medical Coding, Healthcare Administration, or related field preferred.

One of the following certifications is required:

• Certified Professional Coder (CPC)
• Certified Coding Specialist (CCS)
• Certified Outpatient Coder (COC)

• Minimum of 2 years of medical coding experience required.
• ENT, Allergy, Otolaryngology, Surgical, or Specialty Practice coding experience strongly preferred.
• Experience with physician office coding, procedural coding, and surgical coding required.
• Familiarity with allergy testing and immunotherapy billing preferred.

• Advanced knowledge of ICD-10-CM, CPT, and HCPCS coding systems.
• Strong understanding of ENT, Allergy, and specialty practice coding guidelines.
• Knowledge of Medicare, Medicaid, and commercial insurance billing requirements.
• Familiarity with EMR and practice management systems.
• Strong analytical, organizational, and problem-solving skills.
• Excellent attention to detail and commitment to coding accuracy.
• Ability to work independently and meet productivity standards.
• Strong written and verbal communication skills.

• Prolonged periods of sitting and computer use.
• Ability to review medical records and documentation for extended periods.
• Ability to perform repetitive hand and keyboard functions.

Precision Healthcare Specialists offers a comprehensive benefits package including:

• Medical, Dental, and Vision Insurance
• 401(k) Retirement Plan
• Paid Time Off (PTO)
• Paid Holidays
• Life Insurance
• Continuing Education Opportunities
• Career Growth and Advancement Opportunities

Precision Healthcare Specialists is an Equal Opportunity Employer committed to fostering a diverse and inclusive workplace while delivering exceptional patient care.