Tidewater Physicians Multispecialty Group
Newport News, VA
A Coder I performs post claim reviews of denied and retracted claims to identify coding-related issues, determine appropriate corrections, and provide feedback to providers, office staff, billing staff, and other departments. This position supports accurate coding and appropriate reimbursement by reviewing medical record documentation, researching coding guidelines, identifying trends in coding-related denials, and providing education and recommendations to improve coding accuracy and documentation. The Coder I works collaboratively with the Billing team, site staff, providers, and other departments to resolve coding-related issues and support successful claim resolution.Major Duties and ResponsibilitiesMaintains working knowledge of current CPT, HCPCS, ICD-10-CM, medical terminology, and applicable coding guidelines and payer requirements.Reviews denied and retracted claims to identify coding, documentation, modifier, diagnosis, or other claim-related issues contributing to the...