Medical Coder 28N25

As a Medical Coder, you will play a crucial role in the healthcare industry by ensuring accurate translation of medical procedures, diagnoses, and services into standardized coding systems. This position involves working closely with healthcare professionals to review medical records and generate codes that are integral for billing and insurance processes. Your expertise will ensure that healthcare providers are reimbursed correctly for their services and contribute to maintaining the financial integrity of healthcare insurance claims. This role requires a keen eye for detail, excellent analytical skills, and a comprehensive understanding of medical terminology and coding guidelines. With advancements in healthcare management systems, a Medical Coder is pivotal in facilitating effective communication between healthcare providers and insurance companies, ultimately influencing patient care by improving the overall efficiency of health services delivery.

Responsibilities

• Review and analyze medical records to identify all relevant diagnoses and procedures for coding.
• Translate medical documentation into standard medical codes using ICD-10, CPT, and HCPCS systems.
• Ensure accuracy and compliance with federal regulations and coding guidelines.
• Work with healthcare providers to clarify ambiguous or missing information in medical records.
• Support billing processes by ensuring all billed items are accurately coded.
• Stay updated with changes in coding standards and insurance regulations.
• Provide feedback to clinical staff on documentation errors and improvement areas.
• Participate in coding audits and provide data on coding performance metrics.
• Identify discrepancies, potential fraud, or coding errors and handle them appropriately.
• Maintain strict confidentiality regarding patient and hospital information.
• Assist in developing procedures and policies for coding accuracy and efficiency.
• Collaborate with the billing department to resolve denied claims and billing inquiries.

Requirements

• Certified Professional Coder (CPC) credential preferred but not mandatory.
• Strong understanding of medical terminology, anatomy, and physiology required.
• Minimum of two years of experience in medical coding or related field.
• Familiarity with ICD-10, CPT, and HCPCS coding systems essential.
• Proficiency in healthcare billing software and Microsoft Office Suite.
• Excellent analytical skills and attention to detail required for this role.
• Strong communication skills required to work effectively with healthcare professionals.