Certified Coding Specialist I

Skills
AbstractsAnatomyConfidentialityContent Management SystemsData PrivacyLCDMedical Coding
Role

What the job involves

The main requirements, responsibilities and hiring steps.

Requirements

  • AAPC or AHIMA certification required
  • At least 1 year of medical coding experience
  • Thorough knowledge of ICD-10 diagnosis coding and official coding guidelines
  • Thorough knowledge of CPT coding NCCI and modifier usage
  • Thorough knowledge of CMS LCD NCD and payer medical policies
  • Strong understanding of anatomy physiology medical terminology and disease processes

Day to day

  • Analyze medical records and abstract clinical data to assign ICD-10 and CPT codes accurately.
  • Interact with physicians to clarify unclear or incomplete documentation for proper code assignment.
  • Identify and report documentation issues while supporting team education activities and maintaining HIPAA-compliant confidentiality.