Assign appropriate medical codes for diagnoses, procedures, and treatments

using ICD-10, CPT, and HCPCS coding systems.

Analyze medical records and documents to ensure completeness and accuracy

before coding.

Ensure proper coding for efficient insurance billing and reimbursement

processes, minimizing denials and delays.

Adhere to healthcare regulations and standards, including HIPAA, to ensure

coding accuracy and patient data confidentiality.

Detect and resolve discrepancies in coding to avoid claim rejections and ensure

accurate billing.

Work closely with doctors, nurses, and administrative staff to clarify

documentation and improve coding accuracy.

Assign appropriate medical codes (ICD, CPT, HCPCS) to diagnoses, procedures,

and treatments.

Review and analyze patient records to ensure accurate coding and compliance

with regulations.

Stay updated on medical coding guidelines, regulatory changes, and compliance

standards.

Maintain confidentiality and security of patient health information (HIPAA

compliance).

Collaborate with billing teams to resolve claim issues and maximize

reimbursement.

Adhere to HIPAA regulations, CMS (Centers for Medicare & Medicaid Services)

guidelines, and insurance policies.

Handle patient records with strict confidentiality following HIPAA and healthcare

regulations.

Collaborate with physicians, nurses, and administrators to improve documentation

quality.

Generate detailed coding reports on productivity, claims accuracy, and financial

performance.

•Skilled in obtaining approvals and verifying eligibility via the Riayati DHPO portal

•Experienced in checking insurance eligibility and processing related
documentation

•Analyze medical records to identify and correct documentation deficiencies

•Ensure compliance with coding standards and regulatory requirements

•Reviews & Verify Documentation with Support Diagnosis Process Treatment
Results

•Identifies Discrepancies in Coding & Billing