ENM OP / Ed facility / Surgery - Coder, QA

Key Responsibilities:

Medical Coding Responsibilities:

• Review clinical documentation and assign accurate codes for ENM OP visits, Emergency Department (ED) services, and Surgical procedures using ICD-10-CM, CPT, and HCPCS coding systems.
• Apply knowledge of CPT modifiers, NCCI edits, bundling, and payer-specific guidelines.
• Ensure compliance with CMS, AAPC, AHIMA, and other regulatory standards.
• Clarify documentation through provider queries when necessary.
• Collaborate with billing and clinical teams for smooth claim submission.

Quality Assurance (QA) Responsibilities:

• Perform detailed audits on coded medical records to ensure accuracy and completeness.
• Identify coding errors, inconsistencies, and opportunities for improvement.
• Provide feedback and coaching to coding teams to enhance coding quality.
• Prepare QA report...