
Job Summary:
- We are seeking a detail-oriented E&M Medical Coder with 1–3 years of experience in Evaluation and Management (E&M) coding. The role involves reviewing medical records, assigning accurate CPT, ICD-10, and HCPCS codes, and ensuring compliance with official guidelines and payer-specific requirements.
Key Responsibilities:
- Review and analyze E&M medical records to determine appropriate codes.
- Assign accurate CPT, ICD-10, and HCPCS codes as per official coding guidelines.
- Ensure compliance with payer rules, CMS, and regulatory requirements.
- Work with providers and auditors to clarify documentation and resolve coding queries.
- Perform quality checks to minimize errors and improve first-pass resolution.
- Stay updated with changes in coding guidelines, payer policies, and industry updates.
- Assist with denial resolution by providing coding-related clarifications.
- Maintain productivity and accuracy benchmarks as per organizational standards.
Qualifications & Skills:
- Bachelor’s degree in Science.
- Experience: 1–3 years in E&M medical coding (mandatory).
- Certification: CPC, CCS, or equivalent (AAPC/AHIMA certified preferred).
- Strong knowledge of ICD-10-CM, CPT, HCPCS, and E&M coding guidelines.
- Familiarity with medical billing/coding software and EMR systems.
- Excellent analytical and documentation review skills.
- Good communication and teamwork abilities.