Responsible for providing coding and abstracting services for clients on inpatient, outpatient, and clinic visits for professional fee medical records using ICD-10-CM and CPT-4
Reviews medical records to identify pertinent diagnoses and procedures relative to the patient's health care encounter
Abstracts appropriate information from the medical record based on the guidelines provided by the client
Solicits clarification from the physician regarding ambiguous or conflicting documentation in the medical record
May act as a mentor to training coders and/or new hires
Maintains current knowledge of the information contained in the Coding Clinic, CPT Assistant, and the Official Guidelines for Coding and Reporting.
Maintains effective and professional communication skills.
Contributes to a positive company image by exhibiting professionalism, adaptability, and mutual respect.

CPC,COC,CIC,CCA, CCS,CCS-P,RHIT or RHIA
Minimum of 3 years of professional fee coding experience, 5 preferred
Strong skills in Profee OBGYN Clinic & Surgery both office and surgical
Coding Productivity Expectation: 10 per hour
Must be able to code Clinic E&M and CPTs
Experience with EPIC, 3M, 360
Excellent verbal and written communication skills
Understands medical terminology, anatomy, physiology, surgical technology, pharmacology, and disease processes
Extensive knowledge of ICD-10-CM and CPT-4 coding principles and guidelines, reimbursement systems, federal, state and payer-specific regulations and policies pertaining to documentation, coding and billing
Must pass coding proficiency test.

Medical Coder

Key skills