Reviews/audits and interprets medical record documentation to identify pertinent diagnosis/procedure and apply correct ICD10, CPT-4, and HCPC's codes in accordance with government and insurance regulations. Demonstrates appropriate utilization of coding software and coding reference material. Follow up with providers on any documentation that is insufficient, missing, or unclear. Assists providers with questions regarding coding and documentation guidelines. Provides ongoing feedback based on observations from coding documentation and identifies opportunities for education and communicates trends to leaders. Keeps up to date on carrier policies/guidelines to ensure all coded services meet appropriate Medicare, National Correct Coding Initiative (NCCI) or Payer-specific guidelines. Reviews and resolves suspended charges due to claim edits or payor rejections related to coding. Reviews, corrects and appeals coding-related denials trends and shares with leadership, and team members to facilitate root cause analysis and continuous process improvement. Corrects and/or appeals denied claims due to coding errors Other duties as assigned Requirements Minimum 3 years coding/medical billing experience Professional coder certification with credentialing from AHIMA and/or AAPC, must be maintained annually ICD10 certified and/or extensive work experience Core Competencies Expertise in medical coding and billing, including proficiency in ICD10, CPT-4, and HCPC's coding standards. Strong ability to analyze medical documentation, resolve coding-related denials, and provide education to healthcare providers on coding guidelines. Highest-signal resume keywords ICD10 Coding CPT-4 Coding HCPC's Coding Professional Coder Certification Medical Billing Experience ATS Optimization Keywords Hard Skills Medical Record Documentation Review Coding Software Utilization Claim Denial Resolution Coding Guidelines Interpretation Root Cause Analysis Soft Skills Communication Feedback Provision Education Facilitation Certifications & Qualifications AHIMA Certification AAPC Certification ICD10 Certification Industry Keywords Medicare Guidelines National Correct Coding Initiative Payer-Specific Guidelines Coding Documentation Trends #J-18808-Ljbffr