Medical Coding- EM OP

Key Responsibilities

• Review and analyze outpatient medical records, physician notes, and clinical documentation.
• Assign accurate E/M, ICD-10-CM, CPT, and HCPCS codes for outpatient encounters.
• Ensure compliance with AMA, CMS, AHIMA, AAPC, and client-specific coding guidelines.
• Identify documentation deficiencies and communicate queries when required.
• Maintain coding quality and productivity targets as defined by the organization.
• Participate in internal audits and quality improvement initiatives.
• Stay updated with coding guideline changes and regulatory updates.
• Support denial management and coding-related appeals when necessary.
• Maintain confidentiality and HIPAA compliance while handling patient records.

Required Skills

• Strong knowledge of Outpatient E/M coding guidelines.
• Expertise in ICD-10-CM, CPT, and HCPCS coding systems.
• Understanding of medical terminology, anatomy, physiology, and disease processes.
• Ability to interpret physician documentation accurately.
• Good analytical, communication, and problem-solving skills.
• Familiarity with EMR/EHR systems and coding tools.

Qualifications

• Graduate in Life Sciences, Nursing, Pharmacy, or related healthcare field.

• Certified coder preferred:

• CPC (Certified Professional Coder)

Experience Requirements

• 1-5 years of medical coding experience.
• At least 1 year of experience in E/M Outpatient coding preferred.
• Experience working with US healthcare clients is an advantage.