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Unknown is hiring for a medical coding role requiring robust certifications and experience across ICD-10-CM, CPT, HCPCS, and E&M coding. The candidate will ensure compliance with NCCI, LCD/NCD directives, MUEs, and Medicare Teaching Physician Guidelines.
The position demands extensive certification prerequisites and progressive coding experience across multiple specialties, with a focus on HCC risk adjustment codes where applicable.
Utilize available encoder, grouper software, and other coding resources to determine the appropriate ICD-10-CM, CPT, and/or HCPCS including specialty specific codes and Evaluation and Management (E&M) codes.
Maintain an understanding and apply knowledge of National Correct Coding Initiatives (NCCI), Local Coverage Documents and National Coverage Documents (LCD/NCD) directives, Medically Unlikely Edits (MUEs), and Medicare Teaching Physician Guidelines, applying knowledge of applicable regulatory requirements and institutional guidelines to select appropriate codes and modifiers.