Job description
Job title: Medical Coder
Job Type: Full-Time
Overview: A Medical Coder transcribes patients’ records into an insurance-accepted coding system. With this information, they process claims for reimbursement from providers in accordance with agreements.
Responsibilities:
- Assigning Codes: Medical coders transcribe patients’ records into an insurance-accepted coding system. They use codes such as Current Procedural Terminology (CPT), Healthcare Common Procedure Coding System (HCPCS), and International Classification of Diseases Tenth Revision Clinical Modification (ICD-10 CM).
- Compliance: Coders comply with medical coding guidelines and policies to ensure accurate and consistent coding practices.
- Review and Verification: They receive and review patients’ charts and documents for verification and accuracy.
- Data Needs and Sequencing: Coders analyze medical records, identify documentation deficiencies, and ensure proper sequencing of codes according to government and insurance regulations.
- Resource and Expertise: Medical coders serve as subject matter experts, assisting other coding staff and verifying documentation for diagnoses, procedures, and treatment results.
Qualifications:
- Work Experience: Proven work experience as a Medical Coder or in a similar role (at least 2+ years).
- Education: A high school diploma or GED is required.
- Certification: CPC certification is highly valuable. The Certified Professional Coder (CPC) credential is the gold standard for medical coding. It demonstrates expertise in coding for services performed by physicians and non-physician providers.
- Skills:
- Proficient computer skills.
- Familiarity with coding software.
- Excellent communication (both verbal and written) and organizational skills.
- Ability to maintain confidentiality.