Medical Coder (225-1007)

A Medical Coder plays a critical role in the healthcare industry by translating healthcare services rendered into standardized codes used for billing and record-keeping. This ensures accurate representation of patient data and facilitates seamless processing of insurance claims. The role demands a thorough understanding of medical terminologies, healthcare reimbursement systems, and proficiency in coding software. Medical Coders are vital in maintaining the financial sustainability of healthcare institutions by minimizing coding discrepancies and ensuring compliance with regulatory standards. They serve as a bridge between healthcare providers and insurance companies, enhancing the efficiency and effectiveness of healthcare delivery.

Responsibilities

• Translate medical diagnoses and procedures into standardized codes for billing purposes.
• Ensure accuracy and completeness of clinical coding for all patient records.
• Review patient records to identify incomplete or incorrect information.
• Collaborate with healthcare providers to clarify inconsistent or vague patient data.
• Maintain up-to-date knowledge of ICD-10, CPT, and HCPCS coding systems.
• Identify opportunities to improve coding processes and departmental efficiency.
• Handle and protect confidential patient information in accordance with HIPAA regulations.
• Participate in coding audits to ensure compliance with coding regulations and guidelines.
• Assist in the training and mentoring of new medical coding staff.
• Utilize electronic health record systems to access and analyze medical information.
• Communicate with insurance companies to resolve any coding-related billing issues.
• Contribute to departmental meetings and provide feedback on coding challenges and innovations.

Requirements

• Possession of a Certified Professional Coder (CPC) or similar credential is required.
• A minimum of two years' experience in medical coding or related healthcare role.
• Proficiency in using coding software and electronic health records systems.
• Strong understanding of medical terminologies and healthcare reimbursement methods.
• Excellent attention to detail and ability to work with high accuracy levels.
• Ability to maintain confidentiality and handle sensitive information with integrity.
• Strong communication skills to collaborate effectively with healthcare professionals.