Medical Coder- E/M & Surgery

Medical Coder- EM and Surgery

Job Description EM and Surgery coding

• Validate all medical record documentation and charge information submitted by the physician to ensure compliance with coding/ billing regulations .
• Notify or verify with physicians on all the changes and charges made
• Should have worked on E&M & Surgery (SDS) coding.
• Perform a variety of activities involving the coding of medical records by ascribing accurate diagnosis and CPT codes as per ICD-10 and CPT-4 systems of coding
• Review coding database annually to re-file insurance claims, verify insurance coverage, and secure other information as required
• Review insurance denials to analyze the causes and identify suitable solutions
• Discuss coding challenges, changes, or reimbursements with a physician
• Submit claims with appropriate documentation with OP notes and other information
• Update claims appropriately when patient information has been changed or corrected after the charge has been posted
• Maintains a high degree of professional and ethical standards
• Focuses on continuous improvement by working on projects that enable customers to arrest revenue leakage while being in compliance with the standards
• Focuses on updating coding skills, knowledge, and accuracy by participating in coding team meetings and educational conferences.

• Job Requirements 

• Graduates with 1 - 4 years experience in Medical Coding
• Prior experience in E&M & Surgery coding, insurance, and posting required
• Exposure to CPT-4, ICD-9, ICD-10, and HCPCS coding
• Knowledge of HIPAA standards
• Prefer Certified Professional Coding certificate
• Good knowledge of medical coding and billing systems, medical terminologies, regulatory requirements, auditing concepts, and principles