Medical Coder 12N25

As a Medical Coder, you will play a critical role in the healthcare industry by ensuring accurate and efficient coding of medical procedures and diagnoses. You will convert complex medical documentation into universal alphanumeric codes, enabling seamless communication and data sharing across healthcare platforms. Your expertise will help healthcare providers secure appropriate reimbursement from insurance companies while maintaining compliance with regulations. Attention to detail and a thorough understanding of healthcare procedures are crucial for success in this role. You will work closely with healthcare professionals, including physicians and nurses, to verify accurate data and ensure the confidentiality of sensitive patient information.

Responsibilities

• Review medical documentation to determine the appropriate codes for billing purposes.
• Translate medical procedures and diagnoses into specific CPT and ICD-10 codes.
• Liaise with healthcare professionals to clarify diagnosis or procedures documentation.
• Enter coded information into Electronic Health Records (EHR) systems accurately.
• Ensure compliance with regulatory standards and coding accuracy for audits.
• Analyze patient records to identify any missing information or discrepancies.
• Collaborate with billing departments to resolve claim issues and discrepancies.
• Stay current with changes in coding guidelines and health care regulations.
• Assist with training new staff on coding practices and EHR systems.
• Maintain patient confidentiality according to HIPAA and company standards.
• Prepare reports for healthcare providers and management regarding coding efficiency.
• Participate in continuous education and certification programs to enhance skills.

Requirements

• Certified Professional Coder (CPC) or equivalent accreditation is a requirement.
• Minimum of two years of experience in a medical coding role is preferred.
• Comprehensive knowledge of ICD-10, CPT, and HCPCS coding systems required.
• Strong understanding of medical terminology and healthcare procedures essential.
• Experience using Electronic Health Records (EHR) systems and billing software.
• Excellent attention to detail with strong analytical and critical thinking skills.
• Effective communication skills to work collaboratively with healthcare professionals.