Baltimore, MD, 21217, USA
1 day ago
Outpatient Medical Certified Coder
Description JOB DESCRIPTION + Medical Coding & Knowledge: Assign appropriate codes to medical diagnoses, procedures, and services using standard coding systems, such as Current Procedural Terminology (CPT), International Classification of Diseases (ICD), and Healthcare Common Procedure Coding System (HCPCS) and appropriate use of modifiers. + Accuracy: Ensure accuracy and compliance with coding guidelines and regulations to prevent coding errors that could lead to billing discrepancies or compliance issues; attention to detail + Documentation Review: Review medical records, physician notes, and other clinical documentation to extract relevant information for coding. This may involve interacting with healthcare providers to clarify documentation as needed. + Data Quality: Contribute to data quality and integrity by maintaining consistent and accurate coding practices. High-quality data is essential for healthcare analytics and research. + Compliance: Stay updated with changes in coding guidelines, regulations (such as those from the Centers for Medicare & Medicaid Services - CMS), and industry standards. Ensure that coding practices are compliant with these requirements. + Continuing Education: Maintain certification through ongoing education and training. Medical coding is a dynamic field, and coders need to stay current with changes in healthcare practices and coding systems. Maintain practical knowledge of the International Classification of Diseases, Clinical Modification (ICD-CM); Healthcare Common Procedure Coding System (HCPCS); and Current Procedural Terminology (CPT) + Coding Specialization: Some Certificated Medical Coders may specialize in specific areas of healthcare, such as inpatient coding, outpatient coding, professional fee coding, or coding for specific medical specialties (e.g., GYN, DENTAL, PRIMARY CARE, PEDIATRICS) + Communication: Communicate with healthcare providers, billing staff, and insurance companies to resolve coding-related issues, clarify coding choices, and address any coding-related inquiries; ability to work as a team member + Computer Skills: Proficiency in using computer software and data entry tools is essential. Familiarity with electronic health record (EHR) systems is often required. + Confidentiality: Understanding and commitment to maintaining patient confidentiality and adhering to healthcare privacy regulations + Problem Solving: Being able to identify and rectify data entry errors and discrepancies is crucial + Time management: The ability to work efficiently and manage time effectively, especially in a fast-paced healthcare environment. Ability to assess and clear assigned EPIC work queue (s) efficiently is required. + Billing Support: Collaborate with billing specialists to generate accurate and compliant insurance claims based on the coded information. This includes submitting claims to insurance companies and government healthcare programs. Working knowledge in identifying patterns and solving issues proactively. Requirements Qualifications · Required Minimum of 3-5 years of medical coding. · Current Certified Professional Coder (CPC) or Certified Coding Specialist – Physician (CCS-P) – required. · and auditing experience in Primary Care, Family Planning, GYN, Dental, Pediatrics, FQHC or Health Department Clinics – preferred. · Proficiency in using electronic health record (EHR) systems and coding manuals and software. · PB EPIC EMR/PM experience highly preferred. · Working knowledge of HIPAA / PHI guidelines. · Possess excellent organizational skills · Above average time management skills · Be detail oriented and comfortable multi-tasking · Clear, concise and effective verbal and electronic communication skills Education: B.A. or AA and current coding certification/ (medical billing certification – a plus) TalentMatch® Robert Half is the world’s first and largest specialized talent solutions firm that connects highly qualified job seekers to opportunities at great companies. We offer contract, temporary and permanent placement solutions for finance and accounting, technology, marketing and creative, legal, and administrative and customer support roles. Robert Half works to put you in the best position to succeed. We provide access to top jobs, competitive compensation and benefits, and free online training. Stay on top of every opportunity - whenever you choose - even on the go. Download the Robert Half app (https://www.roberthalf.com/us/en/mobile-app) and get 1-tap apply, notifications of AI-matched jobs, and much more. All applicants applying for U.S. job openings must be legally authorized to work in the United States. Benefits are available to contract/temporary professionals, including medical, vision, dental, and life and disability insurance. Hired contract/temporary professionals are also eligible to enroll in our company 401(k) plan. Visit roberthalf.gobenefits.net for more information. © 2025 Robert Half. An Equal Opportunity Employer. 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