Description
The Credentialed Coder reviews clinical documentation and assigns accurate ICD-10-CM, ICD-10-PCS, CPT, and HCPCS codes while ensuring compliance with federal, state, and payer regulations. The role validates medical necessity and documentation completeness, maintains coding quality and turnaround standards, stays current with coding updates, and participates in audits and quality assurance activities. Candidates should have recent hospital coding experience, knowledge of coding systems and CMS regulations, and proficiency with electronic health records and coding software.
