Job Description

E&M and Minor Surgery Medical Coder - Revenue Cycle Management (RCM)

Overview:

We are seeking a highly skilled and detail-oriented

E&M (Evaluation & Management) and Minor Surgery Medical Coder

to join our Revenue Cycle Management (RCM) team. This role involves the accurate coding of medical procedures, services, and consultations within the framework of the RCM industry, ensuring proper reimbursement for healthcare providers. The ideal candidate will have expertise in E&M coding, minor surgical procedure coding, and a thorough understanding of billing practices and insurance guidelines.

Key Responsibilities:

E&M Coding

: Review medical documentation and assign appropriate E&M codes (99201-99499) based on the complexity of patient visits, including office consultations, follow-ups, and inpatient services. Ensure that the E&M codes are compliant with current CPT, ICD-10, and HCPCS guidelines, payer policies, and regulatory requirements. Verify that the clinical documentation supports the assigned E&M code by assessing the history, examination, and medical decision-making.

Minor Surgery Coding

: Accurately code minor surgical procedures, such as excisions, biopsies, and other outpatient procedures, in compliance with CPT guidelines. Review operative reports and clinical documentation to ensure correct and comprehensive coding of procedures. Update and maintain knowledge of changes to CPT codes and payer guidelines related to minor surgeries.

Revenue Cycle Management Support

: Collaborate with billing teams to ensure that all services are properly coded and submitted for reimbursement. Ensure that codes are appropriately assigned to facilitate timely and accurate claims processing. Address and resolve coding issues that may result in claim denials or delayed reimbursements. Work with other departments (e.g., insurance verification, collections) to resolve any discrepancies in codes or claims.

Compliance and Auditing

: Adhere to all federal, state, and payer-specific guidelines related to coding and billing to maintain compliance. Conduct audits on coding practices to ensure consistency, accuracy, and compliance with healthcare regulations. Review coding reports and trends, recommending corrective actions or improvements as needed.
Job Type: Full-time

Pay: ?300,000.00 - ?500,000.00 per year

Benefits:

Provident Fund
Schedule:

Day shift US shift
Work Location: In person