Medical Coder 16J25

The Medical Coder 16J25 position is a critical role in the healthcare industry, focusing on the accurate coding of patient information, treatments, and procedures for insurance billing and record-keeping purposes. As a Medical Coder, you will be responsible for translating medical documentation into standardized codes that convey complex medical information concisely and accurately. This role requires proficiency in the use of coding systems such as ICD-10-CM, CPT, and HCPCS, and demands meticulous attention to detail, as well as a strong understanding of medical terminology, anatomy, and healthcare procedures. Medical coders must uphold the highest standards of confidentiality and compliance with healthcare regulations while collaborating effectively with healthcare providers and insurance companies to ensure accurate billing and optimal patient care. This dynamic and rewarding role is vital to the efficient operation of healthcare services and has a significant impact on the financial health of healthcare organizations.

Responsibilities

• Accurately translate medical diagnoses into standardized classification codes for billing purposes.
• Ensure all codes adhered to latest coding guidelines and standards at all times.
• Review patient records and medical documentation for accurate information retrieval.
• Collaborate with healthcare providers for clarification on any discrepancies in records.
• Maintain patient confidentiality in compliance with healthcare regulations and legal requirements.
• Stay informed on updates in coding regulations, tools, and healthcare industry trends.
• Evaluate the medical necessity of services billed and assist in claim appeals processes.
• Provide guidance and training to new coders to ensure consistency in coding practices.
• Work with insurance companies to resolve billing and coding-related inquiries or issues.
• Generate coding reports as required and assist in analyzing code trends and patterns.
• Utilize electronic medical records systems for efficient data management and coding tasks.
• Perform audits and quality checks on coded data to maintain accuracy and reliability.

Requirements

• Certified Professional Coder (CPC) or equivalent certification is mandatory.
• Proficiency in ICD-10-CM, CPT, and HCPCS coding systems is essential.
• Strong understanding of medical terminology and anatomy required for accurate coding.
• Excellent analytical skills with keen attention to detail for precise documentation.
• Ability to work independently, prioritize tasks, and meet tight deadlines effectively.
• Demonstrated experience with electronic health records and medical billing software.
• Strong communication skills for effective collaboration with healthcare professionals.