Education & Certification Bachelors degree in a related field (preferred but not always required). Active certification in any of the following: CPC, COC, CCS (mandatory). Experience Minimum of 1 year experience in Outpatient Medical Coding in a clinical, BPO, or CPO set-up. At least 35 years of hands-on professional coding and outpatient facility coding experience . For senior-level roles: 57 years of medical coding experience (OP) with 3+ years in coding quality review or auditing . Experience in multi-specialty coding highly preferred. Technical Skills Strong knowledge of ICD-10-CM, CPT, and HCPCS coding systems. Familiarity with medical necessity guidelines and payer requirements. Proficiency in EMR/EHR platforms such as Epic, Cerner, Meditech, and 3M Encoder . Solid background in claims denials management , including analysis, resolution, and appeals processes. Other Requirements Excellent analytical and problem-solving skills. High attention to detail and accuracy in coding and auditing. Strong communication skills and ability to work independently or as part of a team. Willingness to work in clinical, BPO, or CPO environments.
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