Medical Coder (225-729)

A Medical Coder plays a pivotal role in the healthcare industry by providing vital support in the documentation and financial cycle of a medical institution. They are responsible for transforming verbal descriptions of diseases, injuries, and procedures into alphanumeric codes. These codes are essential for hospitals and insurance companies to process claims efficiently. The position demands a detail-oriented individual with a strong understanding of medical terminologies as they work closely with healthcare professionals to ensure that the data captured is both accurate and complete. Medical Coders contribute significantly to the revenue flow in healthcare by minimizing errors and ensuring precise billing, which directly influences patient care and the overall financial health of an institution.

Responsibilities

• Review medical records and assign accurate codes to diagnoses and procedures.
• Ensure coded data meets all applicable coding guidelines and standards.
• Collaborate with healthcare professionals to ensure codes reflect accurate medical procedures.
• Validate codes with insurance companies for accurate billing and reimbursement processes.
• Stay updated with coding guidelines, insurance requirements, and medical terminologies.
• Handle confidential patient information with the utmost discretion and comply with data protection regulations.
• Identify gaps in medical documentation and communicate with medical staff to resolve discrepancies.
• Participate in audits to ensure coded data meets regulatory requirements and standards.
• Generate and analyze reports to track coding accuracy and billing efficiency.
• Provide training and guidance to new medical coding staff as needed.
• Use coding software and tools effectively to increase efficiency and accuracy in coding tasks.
• Assist in developing and implementing procedures for coding workflow improvements.

Requirements

• High school diploma or equivalent; associate degree in a related field preferred.
• Certification in medical coding (such as CPC, CCS, or CCA) is required.
• Proficiency in coding guidelines and medical terminologies is essential.
• Experience with coding software and Electronic Health Records (EHR) systems is advantageous.
• Excellent attention to detail and accuracy in data entry and coding tasks.
• Strong communication skills for effective interaction with healthcare professionals.
• Capacity to manage multiple tasks and meet deadlines in a dynamic work environment.