Medical Coder (225-711)

As a vital part of the healthcare team, a Medical Coder plays a crucial role in the processing and billing efforts of healthcare providers. The primary responsibility of a Medical Coder is to review and analyze medical records, ensuring the accurate translation of healthcare services, diagnoses, and procedures into standardized medical codes. These codes are essential for healthcare facilities to communicate effectively with insurance companies, enabling the seamless reimbursement process. A Medical Coder not only provides accuracy in health records but also contributes to the broader database of medical research and statistics, aiding in healthcare trends and decision-making. This role requires a meticulous attention to detail, strong analytical skills, and a thorough understanding of medical terminology, anatomy, and coding protocols such as ICD-10, CPT, and HCPCS. Successful candidates will demonstrate an ability to work independently, maintain patient confidentiality, and stay updated on changes in coding standards and healthcare regulations.

Responsibilities

• Analyze medical records and assign codes to diagnoses and procedures.
• Ensure accurate coding using ICD-10, CPT, and HCPCS guidelines.
• Collaborate with healthcare providers to clarify billing codes when necessary.
• Review and verify medical billing for accuracy and compliance with regulations.
• Stay up-to-date with any changes in coding standards and healthcare regulations.
• Maintain confidentiality of patient records and sensitive information.
• Assist in the education and training of other healthcare staff on coding processes.
• Prepare and submit detailed reports on coding activities and findings.
• Work closely with billing departments to resolve coding discrepancies.
• Participate in audits and review sessions to ensure coding quality standards.
• Support the development and implementation of internal coding policies and procedures.
• Contribute to improving coding efficiency and accuracy within the department.

Requirements

• Certification as a Professional Coder by AAPC or AHIMA is required.
• Proficiency in coding systems such as ICD-10, CPT, and HCPCS.
• Strong understanding of medical terminology and healthcare procedures.
• Minimum of two years’ experience in a medical coding role preferred.
• Exceptional attention to detail and analytical skills are essential.
• Excellent communication skills with the ability to collaborate effectively.
• Commitment to maintaining patient confidentiality and ethical coding practices.
• Ability to manage time effectively and prioritize workload efficiently.
• Familiarity with electronic health records (EHR) systems is advantageous.
• Capability to work independently and meet tight deadlines consistently.