Job Details

A company is looking for a Medical Coder Pre Claims.Key ResponsibilitiesReview orders and documentation for accurate ICD-10 and CPT/HCPCS coding for clean claim submissionExecute quality checks and proactive audits to prevent coding and documentation errorsCollaborate with front-end operations to ensure all billing information is complete before claim submissionRequired QualificationsHigh school diploma or equivalent; additional education in health sciences preferredWorking knowledge of ICD-10-CM and CPT/HCPCS coding conceptsAbility to identify and resolve missing or invalid claim-critical data elementsProfessional coding certification (AAPC/AHIMA or equivalent) preferredExperience in pre-claim quality, audits, or denial prevention in a healthcare revenue cycle environment preferred