Job Description
Position Summary
We are seeking a detail-oriented and knowledgeable Medical Bill Coder who can review, validate, and apply appropriate coding to medical bills in compliance with state-specific regulations and industry standards . The ideal candidate will ensure billing accuracy, improve claims efficiency, and reduce compliance risk.
Key Responsibilities
- Review incoming medical bills for completeness and accuracy.
- Assign proper CPT, ICD-10, and HCPCS codes based on medical records and documentation.
- Ensure coding aligns with state regulations , payer-specific rules , and company policies .
- Identify and correct coding discrepancies, unbundled codes, or documentation gaps.
- Collaborate with billing, claims, and compliance teams to resolve coding-related issues.
- Stay updated with coding changes, fee schedules, and relevant state legislation.
- Support audits and internal reviews as needed.
Qualifications
- Certification: CPC, CCS, or equivalent required.
- Minimum 3-5 years of experience in medical coding, preferably in a workers’ compensation or physical medicine environment.
- Strong understanding of state-specific billing guidelines and medical coding compliance .
- Proficiency with EHR systems and coding software (e.g., EncoderPro, Availity).
- High attention to detail, strong analytical skills, and ability to meet deadlines.
Preferred Skills
- Experience working with workers’ compensation clams .
- Familiarity with NCCI edits and payer-specific rules .
If you are interested, please share your resume at sjain@pksi.com
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