Experienced Pathology Coder

Job highlights

• Graduate in Life Sciences (e g,Nursing,Pharma,Biochemistry,Microbiology) Minimum 2 years of experience in pathology coding,preferably with MIPS / QPP exposure Strong understanding of CPT,ICD-10-CM,and modifier usage in pathology Familiarity with MUEs,QPP measures,and CMS coding guidelines Review pathology accessions for MIPS-related coding requirements

Graduate in Life Sciences (e g, Nursing, Pharma, Biochemistry, Microbiology) Minimum 2 years of experience in pathology coding, preferably with MIPS/QPP exposure Strong understanding of CPT, ICD-10-CM, and modifier usage in pathology Familiarity with MUEs, QPP measures, and CMS coding guidelines Review pathology accessions for MIPS-related coding requirements.- Assign CPT, ICD-10, and appropriate modifiers based on documentation and QPP measure criteria.

• Collaborate with offshore coding teams to review impacted accessions and provide feedback.
• Validate MUE (Medically Unlikely Edits) logic and apply appropriate code substitutions (e g, 88307 x8 + 88305 x2).
• Identify and triage failed accessions for QA review and potential recoding or addendum.
• Ensure accurate classification of accessions as Pass, Fail, Exclude, or Exempt.
• Participate in monthly dashboard reviews and support CAP/MRO submission processes.
• Maintain compliance with CMS, CAP, and NHPMG coding standards.
• Support reconciliation of coded volumes and ensure reporting accuracy