Medical Coder

Role Overview

• Assign appropriate diagnosis codes (ICD-10-CM) and procedure codes (CPT/HCPCS) to medical records and encounters.
• Review and analyze clinical documentation to ensure accurate code assignment and appropriate documentation specificity.
• Stay current with coding guidelines and regulations to ensure compliance with healthcare coding standards.
• Implement coding changes based on updates and revisions to coding systems.
• Conduct periodic coding audits to identify coding errors or discrepancies and recommend corrective actions.
• Participate in quality assurance programs to maintain accurate and consistent coding practices.
• Work closely with healthcare providers, billing specialists, and other healthcare professionals to resolve coding-related issues and discrepancies.
• Communicate coding updates and changes to the healthcare team effectively.
• Accurately enter coded data into electronic health records (EHR) and billing systems.
• Generate coding-related reports and statistics to support decision-making and revenue cycle management.

Requirements

• High school diploma or equivalent; Associate's degree in Health Information Management or related field is preferred.
• Certified Professional Coder (CPC) or similar coding certification is highly desirable.
• Minimum of 2 years of experience in medical coding in a healthcare setting.
• Strong knowledge of ICD-10-CM, CPT, HCPCS coding systems, and medical terminology.
• Familiarity with coding software and electronic health records (EHR) systems.
• Attention to detail and accuracy in coding assignments.
• Knowledge of healthcare reimbursement and billing processes.
• Excellent analytical and problem-solving skills.
• Ability to work independently and efficiently in a fast-paced environment.
• Commitment to confidentiality and adherence to ethical coding practices.

Benefits

• Medical, dental and vision insurance
• Basic and supplemental life insurances and AD&D
• Disability benefits
• 401(k) plan