Hiring For Medical Coding Specialist In Spain & Portugal

Padam chand Hiring For Flight To Sucess Immigration; Portugal; Presencial; EUR 25 000 - 35 000; Tempo integral

Resumo da oferta

A leading immigration consultancy in Portugal is seeking a Medical Coder to assign accurate coding for diagnoses and procedures based on healthcare documentation. The ideal candidate has a certification in medical coding and experience in claims preparation. Responsibilities include analyzing medical records, ensuring compliance with regulations, and collaborating with billing teams to maximize reimbursements.

Qualificações

• Proven experience in medical coding with knowledge of ICD-10, CPT, and HCPCS systems.
• Attention to detail in analyzing medical records.

Responsabilidades

• Assign coding accurately based on healthcare documentation.
• Prepare and submit claims to insurance companies.
• Ensure coding compliance with regulations.

Conhecimentos

ICD-10 coding

CPT coding

HCPCS coding

Medical record analysis

Claims preparation

Compliance knowledge

Formação académica

Certification in Medical Coding (CPC, CCA, or CCS)

Ferramentas

Electronic Health Record (EHR) systems

Descrição da oferta de emprego

Responsibilities

• Code Assignment: Assign accurate ICD-10, CPT, and HCPCS codes to diagnoses, procedures, and services. Ensure codes reflect the medical documentation provided by healthcare providers.
• Medical Record Review: Analyze patient medical records and documentation to determine the correct coding. Clarify missing or unclear information by consulting with physicians or healthcare providers.
• Claims Preparation & Submission: Prepare and submit clean claims to insurance companies for reimbursement. Ensure claims are compliant with payer guidelines to reduce rejections and denials.
• Insurance & Reimbursement Support: Work with billing teams to ensure proper payment and correct coding for maximum reimbursement. Monitor and resolve coding-related claim denials and rejections.
• Compliance & Regulations: Ensure coding practices comply with HIPAA, federal regulations, and payer policies. Stay updated on changes in coding guidelines, laws, and payer requirements.
• Quality Assurance: Conduct regular coding audits for accuracy and compliance. Implement corrective actions when discrepancies or errors are found.
• Data Entry & Record Maintenance: Input coded data into Electronic Health Record (EHR) systems accurately and efficiently. Maintain organized and confidential records in compliance with data protection standards.
• Communication & Coordination: Communicate with physicians, billing teams, and insurance companies to resolve coding issues. Collaborate with other departments to ensure seamless workflow.
• Continuous Learning: Participate in ongoing training and professional development related to coding systems and healthcare regulations. Maintain certification(s) such as CPC, CCA, or CCS as required.
• Reporting & Analysis: Generate reports on coding productivity, error rates, and reimbursement trends. Assist in identifying patterns or opportunities for process improvements.