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Medical Coder

Shah Enterprises

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PKR. 45,000 - 50,000/Month

Medical Coding:
- Analyze medical records and documents to assign accurate codes for diagnoses, procedures, and services.
- Ensure all assigned codes are compliant with ICD-10-CM, CPT, and HCPCS standards.
Claims Accuracy:
- Verify coding accuracy and resolve discrepancies in documentation and claims before submission to insurance companies.
- Collaborate with medical providers to clarify coding issues and ensure proper documentation.
Compliance and Audits:
- Ensure compliance with all regulatory requirements, including HIPAA and payer-specific guidelines.
- Assist in audits and reviews to ensure claims accuracy and reduce denial rates.
Denial Management:
- Review denied claims and provide corrections or additional documentation to resubmit claims.
Team Collaboration:
- Work closely with billing specialists and denial management teams to optimize claim approvals and reimbursement.

Qualifications:

Education:

High school diploma or equivalent (required).
Certification in Medical Coding:
Certified Professional Coder (CPC) from AAPC or Certified Coding Specialist (CCS) from AHIMA (required).

Experience:

Minimum 1–3 years of experience in medical coding (preferred).
Experience with US healthcare systems, insurance, and reimbursement processes is a plus.

Skills:

Strong knowledge of ICD-10, CPT, and HCPCS coding systems.
Familiarity with medical terminology, anatomy, and healthcare documentation.
Proficient in using medical billing and coding software (e.g., Kareo, AdvancedMD, AthenaHealth).
Attention to detail and the ability to maintain high accuracy under pressure.
Strong communication and problem-solving skills.