Medical Coding Specialist
InGenesis
Medical Coding Specialist
Job Details Professional Discipline : Health and Information Management
Specialty : Medical Coder
Employment Type : Full Time
City : Columbia
State : SC
Pay Range :
Job Description: We are seeking a detail-oriented Medical Coding Specialist to join our team. In this role, you will review medical documentation and perform coding validations across multiple lines of business under Medicare and TRICARE. Your responsibilities will include reassignment and sequencing of diagnostic and procedural codes using universally recognized coding systems, as well as compiling and analyzing data to identify areas for targeted medical review where there is a high potential for inappropriate payments. Key Responsibilities:
Job Details Professional Discipline : Health and Information Management
Specialty : Medical Coder
Employment Type : Full Time
City : Columbia
State : SC
Pay Range :
Job Description: We are seeking a detail-oriented Medical Coding Specialist to join our team. In this role, you will review medical documentation and perform coding validations across multiple lines of business under Medicare and TRICARE. Your responsibilities will include reassignment and sequencing of diagnostic and procedural codes using universally recognized coding systems, as well as compiling and analyzing data to identify areas for targeted medical review where there is a high potential for inappropriate payments. Key Responsibilities:
- Review and validate medical documentation for coding accuracy.
- Reassign and sequence diagnostic/procedural codes as appropriate.
- Utilize ICD-9, DRG, APC, HIPPS, HCPCS, or RUG coding systems.
- Analyze statistical data to identify trends and focus areas for medical review.
- Ensure compliance with Medicare/TRICARE billing and payment guidelines.
- Education: Associate degree in Health Information Management, graduation from an accredited nursing program, or successful completion of AHIMA or AAPC certification exam
- Licensure/Certification: CCS, CPC, or active RN license (state or compact multistate)
- Experience: At least 1 year of coding and validation experience using ICD-9, DRG, APC, HIPPS, HCPCS, or RUG
- Skills:
- Proficiency in medical terminology and coding
- Strong analytical, organizational, and judgment skills
- Excellent attention to detail and written communication
- Customer service orientation
- Discretion with confidential information
- Basic proficiency in word processing software
Vacancy posted 1 day ago
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