Medical Coder (Temp WFH)

Work Setup/Shift: TEMP WFH / Day shift

Start Date: June 2

Qualifications:

• Medical allied graduate, preferably with clinical background - RN/BSN, PT, OT etc.
• Must have at least CPC or any coding certification with at least a year of Home Health coding experience (Level 2 Primary Oasis / Level 3 Extended Oasis with POC).
• Candidates with BCHH-C Certification (Board Certificate Home Health -Coding) has plus advantage.
• If no BCHH certification the candidate should be willing to take the certification exam while on training and should passed the exam to proceed working on the account.

Responsibilities:

1. Medical Coding:

• Review and assign appropriate codes to diagnoses, procedures, and treatments based on patient medical records.
• Utilize coding systems including ICD-10-CM (International Classification of Diseases), CPT (Current Procedural Terminology), and HCPCS (Healthcare Common Procedure Coding System).
• Ensure that all medical coding is accurate, complete, and compliant with current healthcare regulations and payer requirements.
• Verify that codes are supported by clinical documentation to ensure accurate billing and reimbursement.

2. Documentation Review:

• Review clinical documentation to ensure that it reflects the correct diagnoses, procedures, and services rendered.
• Communicate with healthcare providers and/or CDI (Clinical Documentation Improvement) specialists as needed to resolve coding discrepancies or missing documentation.
  
• Address coding challenges or ambiguous documentation by researching and providing clarification requests when necessary.