Primary Responsibilities:
- Review and accurately assign E/M codes for outpatient physician services in accordance with current coding guidelines.
- Ensure compliance with CPT, ICD-10-CM, CMS, and payer-specific regulations.
- Analyze medical documentation to determine the appropriate level of service based on Medical Decision Making (MDM), time, and other applicable guidelines.
- Conduct coding audits and provide feedback to providers when necessary.
- Maintain productivity and quality standards established by the organization.
Required Qualifications:
- Strong knowledge of Outpatient Evaluation and Management (E/M) coding guidelines.
- Proficiency in CPT, ICD-10-CM, and healthcare documentation requirements.
- Experience coding physician/professional fee services.
- Ability to interpret clinical documentation and apply coding guidelines accurately.
- Should be certified from AAPC/AHIMA
Preferred Qualifications:
- Working knowledge of Inpatient Evaluation and Management (E/M) coding.
- Experience with both outpatient and inpatient physician coding.
- Familiarity with CMS and specialty-specific coding guidelines.
