Medical Coder (225-705)

A Medical Coder plays a vital role in the healthcare industry, transforming patient information into standardized codes found on billing documents for further processing and insurance claims. This role is instrumental in ensuring accuracy in healthcare billing and compliance with national standards. It requires a detailed understanding of medical terminology, procedures, and diagnostic information. Medical coders work collaboratively with healthcare providers to guarantee that all records are accurately coded. This is essential for healthcare facilities to receive proper reimbursement and for patients to receive accurate billing information. Being a medical coder requires a keen eye for detail, strong analytical skills, and a commitment to maintaining confidentiality and efficiency in handling sensitive health data.

Responsibilities

• Translate complex medical diagnoses and procedures into universally recognized codes.
• Review patient charts and medical records to ensure accurate coding of services.
• Ensure compliance with established coding guidelines and strict healthcare regulations.
• Collaborate with healthcare professionals to clarify ambiguous or conflicting medical records.
• Perform regular audits to ensure the accuracy and integrity of coded information.
• Maintain up-to-date knowledge of coding standards, including ICD-10 and CPT codes.
• Utilize healthcare coding tools and technology to enhance coding efficiency and accuracy.
• Assist in generating and submitting insurance claims for reimbursement purposes.
• Contribute to continuous improvement efforts within the coding department or team.
• Address and rectify discrepancies in coding and billing practices promptly.
• Manage confidentiality and data protection for all patient information processed.
• Provide support and training to junior coders or new team members as needed.

Requirements

• Certification in medical coding, such as CPC, CCS, or equivalent credential.
• Proven experience in medical coding within a healthcare setting is essential.
• Strong comprehension of medical terminology, procedures, and treatment protocols.
• Skill in understanding and applying ICD-10, CPT, and HCPCS codes accurately.
• Excellent organizational skills and ability to work independently with minimal supervision.
• High attention to detail with an emphasis on accuracy and integrity of code assignments.
• Strong commitment to maintaining patient confidentiality and data security standards.