What are the responsibilities and job description for the Medical Certified Coder Specialist position at PayerFusion?
About Us : We are a service-based company and as a licensed Third-Party Administrator, we are seeking only top talent and experienced personnel in order to meet and exceed our client's expectations. We're an innovative company creating a unique experience for healthcare professionals. While many industry-wide solutions exist, nothing comes close to our ground-breaking approach.Responsibilities :
- Conduct quality assurance audits to ensure coding accuracy and compliance.
- Assign and sequence ICD-10, CPT, and HCPCS codes to diagnoses and procedures.
- Ensure codes are accurate and compliant with government and insurance regulations.
- Review clinical documents, medical records, and patient charts for correct coding.
- Ensure coding is timely, accurate, and compliant with healthcare guidelines.
- Collaborate with healthcare providers and administrative staff to resolve coding discrepancies.
- Prepare and submit coded data for insurance claims, addressing any claim denials or issues.
- Stay updated on coding changes, medical terminology, and regulatory updates.
- Follow up with providers on insufficient or unclear documentation.
- Communicate with staff regarding documentation needs.
- Research complex or unusual coding cases.
- Review patient charts and documents for accuracy.
- Ensure all codes are current and active.Benefits
- Excellent health and dental insurance coverage
- Free vision, life, and hospital gap insurance
- 12 paid holidays
- Paid Time Off
- 401K with company match up to 4%Requirements :
- High school diploma or equivalent (required); Certification in medical coding (e.g., CPC, CCS, or equivalent) is preferred.
- Previous experience in medical coding or a related healthcare field is a plus.
- Strong knowledge of ICD-10, CPT, and HCPCS coding systems.
- Familiarity with medical terminology, anatomy, and clinical procedures.
- Attention to detail and accuracy in coding and documentation.
- Ability to communicate effectively with healthcare providers and insurance companies.
- Knowledge of HIPAA and other healthcare privacy regulations.
- Knowledge of Microsoft Excel, Word, Outlook and Teams software.
