Outpatient Medical Coding Specialist

You will be joining Edvak, a US-based SaaS company known for transforming the healthcare sector with innovative AI solutions. As a dynamic Content Strategist/Marketer, your primary responsibility will be to lead the content marketing efforts and contribute to Edvak's success in a competitive market.

• *Roles & Responsibilities:**
• Review outpatient medical records and accurately assign ICD-10-CM, CPT, and HCPCS codes.
• Ensure compliance with CMS, AMA, NCCI edits, and payer-specific guidelines.
• Code charts for various outpatient services like OPD visits, diagnostic services, minor procedures, therapy, labs, and radiology.
• Validate medical necessity and ensure documentation aligns with assigned codes.
• Collaborate with providers to enhance documentation accuracy.
• Assist billing and AR teams in resolving coding-related denials and appeals.
• Conduct regular self-audits to maintain high accuracy levels.
• Stay updated with coding rules, guideline updates, and regulatory changes.
• *Skills Required:**
• Proficiency in outpatient coding rules and guidelines.
• Expertise in ICD-10-CM, CPT, HCPCS Level II, and E/M outpatient guidelines.
• Hands-on experience with EHR/EMR systems and coding platforms.
• Ability to accurately interpret provider documentation.
• Understanding of outpatient billing workflow and payer policies.
• Strong analytical and problem-solving abilities.
• Excellent communication skills and attention to detail.
• *Preferred Certifications (Any One):**
• CPC (Certified Professional Coder)
• COC (Certified Outpatient Coder)
• CCS (Certified Coding Specialist)
• CCS-P (Certified Coding Specialist Physician-based)

We are seeking candidates with a minimum of 5 years of experience in outpatient coding. You should be immediately available, serving a notice period, or able to join within one week. You will be joining Edvak, a US-based SaaS company known for transforming the healthcare sector with innovative AI solutions. As a dynamic Content Strategist/Marketer, your primary responsibility will be to lead the content marketing efforts and contribute to Edvak's success in a competitive market.

• *Roles & Responsibilities:**
• Review outpatient medical records and accurately assign ICD-10-CM, CPT, and HCPCS codes.
• Ensure compliance with CMS, AMA, NCCI edits, and payer-specific guidelines.
• Code charts for various outpatient services like OPD visits, diagnostic services, minor procedures, therapy, labs, and radiology.
• Validate medical necessity and ensure documentation aligns with assigned codes.
• Collaborate with providers to enhance documentation accuracy.
• Assist billing and AR teams in resolving coding-related denials and appeals.
• Conduct regular self-audits to maintain high accuracy levels.
• Stay updated with coding rules, guideline updates, and regulatory changes.
• *Skills Required:**
• Proficiency in outpatient coding rules and guidelines.
• Expertise in ICD-10-CM, CPT, HCPCS Level II, and E/M outpatient guidelines.
• Hands-on experience with EHR/EMR systems and coding platforms.
• Ability to accurately interpret provider documentation.
• Understanding of outpatient billing workflow and payer policies.
• Strong analytical and problem-solving abilities.
• Excellent communication skills and attention to detail.
• *Preferred Certifications (Any One):**
• CPC (Certified Professional Coder)
• COC (Certified Outpatient Coder)
• CCS (Certified Coding Specialist)
• CCS-P (Certified Coding Specialist Physician-based)

We are seeking candidates with a minimum of 5 years of experience in outpatient coding. You should be immediately available, serving a notice period, or able to join within one week.