ProEd Consulting and Staffing

Job Summary (List Format) - Outpatient E/M Coder - Assign accurate CPT®, ICD-10-CM, and HCPCS Level II codes for outpatient E/M services based on Medical Decision Making (MDM) and current guidelines. - Apply HCC (Hierarchical Condition Category) coding principles to support risk adjustment and complete clinical documentation. - Review provider documentation for completeness, specificity, and medical necessity; query providers when needed. - Ensure compliance with CMS, AMA, ICD-10-CM guidelines, payer requirements, and internal coding policies. - Meet established coding productivity and quality benchmarks. - Assist with coding audits, provide education feedback, review denials, and support other coding projects as assigned. - Participate in team meetings, training sessions, and after-hours meetings scheduled in Pacific Time. - Maintain patient privacy and confidentiality in accordance with HIPAA and organizational standards. - Stay updated on coding guideline changes,...