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Key Responsibilities:
- Accurately code medical records using ICD-10-CM, CPT, and HCPCS for diagnoses, procedures, and services.
- Ensure compliance with federal regulations and guidelines (e.g., Medicare, Medicaid), maintaining coding accuracy and resolving discrepancies.
- Collaborate with healthcare providers to ensure proper clinical documentation and support accurate billing and reimbursement processes.
- Conduct internal coding audits to ensure compliance with healthcare regulations and improve coding efficiency.
- Provide training and mentorship to staff, delivering educational sessions, workshops, and materials related to coding and documentation best practices.
- Stay current with industry changes, regulatory updates, and coding guidelines, and incorporate these into both coding and training practices.
- Act as a subject matter expert (SME) for coding-related inquiries, offering support and guidance as needed.
Qualifications:
- Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or a similar credential from AAPC or AHIMA
- At least 3 years of medical coding experience in a US healthcare setting
- Experience in training or mentoring coding staff and healthcare professionals
- Strong knowledge of ICD-10-CM, CPT, HCPCS, and medical terminology
- Solid understanding of healthcare compliance, regulations, and reimbursement procedures
- Excellent communication and interpersonal skills, with the ability to effectively train and collaborate with teams
- Proficiency in Electronic Health Records (EHR) systems and coding software
- Onsite availability in Fort Worth, Texas
Preferred Skills:
- Experience conducting internal audits and preparing detailed compliance reports
- Familiarity with healthcare billing software and coding audit tools
- Ability to adapt to regulatory changes quickly and implement them in coding and training functions