Certified Medical Coder

Responsibilities:
Review and analyze physician notes, operative reports, discharge summaries, and clinical documentation from hospital and nursing home records.
Assign accurate ICD-10-CM/PCS, CPT, and HCPCS codes for inpatient, outpatient, and nursing home in accordance with CMS and payer guidelines.
Ensure coding compliance for Medicare Part A & B, Medicaid, and commercial insurance coding requirements.
Validate medical necessity, diagnoses, procedures, and supporting documentation to justify coded services.
Query physicians and clinical staff for documentation clarification when required, following compliant query practices.
Conduct coding quality reviews and internal audits to ensure adherence to federal, state, and payer-specific regulations.
Stay current with CMS updates, NCCI edits, LCDs/NCDs, and payer-specific coding policies related to hospital and long-term care services.
Maintain accurate, complete, and audit-ready coding documentation.
Collaborat...

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