Medical Coder Pre-Claims

Job Summary

A company is looking for a Medical Coder Pre Claims.

Key Responsibilities

• Review orders and documentation for accurate ICD-10 and CPT/HCPCS coding for clean claim submission
• Execute quality checks and proactive audits to prevent coding and documentation errors
• Collaborate with front-end operations to ensure all billing information is complete before claim submission

Required Qualifications

• High school diploma or equivalent; additional education in health sciences preferred
• Working knowledge of ICD-10-CM and CPT/HCPCS coding concepts
• Ability to identify and resolve missing or invalid claim-critical data elements
• Professional coding certification (AAPC/AHIMA or equivalent) preferred
• Experience in pre-claim quality, audits, or denial prevention in a healthcare revenue cycle environment preferred