Medical Coding Executive

Role & responsibilities:

• Medical Coding: Accurately review patient charts, medical records, and other documentation to assign appropriate codes for diagnoses, procedures, and services using ICD-10, CPT, and HCPCS coding systems.
• Billing Accuracy: Ensure that codes are applied correctly for insurance claims and billing purposes, reducing the risk of claim denials or payment delays.
• Documentation Review: Collaborate with physicians and healthcare providers to clarify any unclear or incomplete documentation to ensure accurate coding and compliance with regulations.
• Compliance & Regulations: Stay current on federal, state, and payer-specific coding requirements and ensure compliance with all regulatory bodies, including HIPAA and CMS standards.
• Claim Submission Support: Assist with submitting accurate claims to insurance companies, following up on denied or rejected claims, and resolving any issues related to billing or coding discrepancies.
• Data Integrity: Maintain accurate records and coding logs for auditing and reporting purposes, ensuring that all coding practices meet the organizations standards.
• Continuous Education: Participate in ongoing professional development and training to maintain certification and stay updated on the latest changes in coding practices and healthcare regulations.
• Collaboration: Work closely with billing, insurance, and clinical teams to address any issues and ensure smooth claim processing and reimbursement cycles.

Technical Skills:

• Proficient in using Electronic Health Record (EHR) systems, coding software, and billing

systems.