Key Responsibilities:
- Code Assigning and Documentation:
- Assign accurate medical codes (ICD-10, CPT, some of HCPCS) for procedures, diagnoses, and treatments based on patient medical records.
- Ensure the proper coding of both routine and specialized procedures.
- Verify that all coding aligns with the medical documentation, ensuring that it reflects the correct diagnosis, procedures, and any other relevant information.
- Medical Record Review:
- Review patient charts and medical records to extract relevant information for accurate coding.
- Ensure all necessary information is included, such as patient history, exam findings, diagnosis, and treatment plan.
- Insurance and Billing Compliance:
- Ensure coding practices comply with federal, state, and payer-specific regulations (e.g., Medicare, Medicaid, private insurers).
- Audit and Quality Control:
- Conduct regular audits of coded documents to ensure accuracy and adherence to industry standards and guidelines.
- Identify and correct any discrepancies in coding, improving the overall accuracy of documentation.
- Stay updated on coding changes, updates to ophthalmology procedures, and compliance regulations.
Required Skills & Qualifications:
- Educational Requirements:
- High school diploma or equivalent (required).
- Post-secondary education or certification in medical coding, health information management, or a related field (preferred).
- Knowledge & Expertise:
- Strong knowledge of coding systems: ICD-10, CPT, and some of HCPCS, and understanding of modifiers.
- Specific knowledge in ophthalmology procedures, treatments, and terminology.
- Familiarity with medical billing software and electronic health record (EHR) systems.
- In-depth understanding of medical documentation and compliance standards.
- Experience:
- 1-3 years of experience as a medical coder, ideally in medical facility.
- Experience with medical billing and working directly with insurance providers.
- Soft Skills:
- Attention to detail and a high level of accuracy in coding.
- Ability to work independently and as part of a team.
- Strong organizational skills and time management.
- Excellent written and verbal communication skills.
- Ability to handle confidential patient information responsibly.
Work timings - US shift hours
Job Type: Full-time
Work Location: Remote
