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Introduction:

We are seeking a skilled and detail-oriented Medical Coder to join our team. This position is suitable for individuals with a strong understanding of medical terminology, coding guidelines, and healthcare regulations. If you are looking for a challenging role in the healthcare industry, we encourage you to apply.

Job Responsibilities:

  • Assign appropriate medical codes to patient records for billing and reimbursement purposes.
  • Review and analyze medical documentation to ensure accuracy and compliance with coding guidelines.
  • Collaborate with healthcare providers to clarify documentation and resolve coding discrepancies.
  • Stay updated on changes in coding regulations and guidelines to ensure accurate coding practices.
  • Maintain confidentiality and adhere to ethical standards in handling patient information.
  • Collaborate with billing and revenue cycle teams to ensure timely and accurate claims submission.
  • Participate in coding audits and provide feedback for process improvement.

Job Brief:

As a Medical Coder, you will play a crucial role in ensuring accurate and compliant coding practices within our healthcare organization. Your main tasks will include assigning appropriate codes to patient records, collaborating with healthcare providers, and maintaining up-to-date knowledge of coding regulations. This role contributes to the company's goals by ensuring accurate billing and reimbursement processes. You will interact with various departments, including healthcare providers, billing teams, and revenue cycle teams.

Detailed Responsibilities:

  • Assign appropriate ICD-10-CM, CPT, and HCPCS codes to patient records based on medical documentation.
  • Review medical records to ensure documentation supports the assigned codes.
  • Collaborate with healthcare providers to clarify documentation and resolve coding discrepancies.
  • Stay updated on changes in coding regulations, guidelines, and industry best practices.
  • Ensure coding accuracy and compliance with coding guidelines and healthcare regulations.
  • Maintain a high level of productivity and meet coding targets.
  • Provide feedback and suggestions for process improvement to enhance coding accuracy and efficiency.

Requirements and Skills:

  • Certified Coding Specialist (CCS) or Certified Professional Coder (CPC) certification.
  • Strong knowledge of medical terminology, anatomy, and physiology.
  • Proficiency in ICD-10-CM, CPT, and HCPCS coding systems.
  • Familiarity with coding guidelines and healthcare regulations.
  • Attention to detail and accuracy in coding assignments.
  • Excellent analytical and problem-solving skills.
  • Effective communication and collaboration skills.
  • Ability to work independently and meet deadlines.
  • Proficiency in using coding software and electronic health record systems.

Frequently Asked Questions (FAQs):

The main responsibilities of a Medical Coder include assigning appropriate codes to patient records, reviewing medical documentation, collaborating with healthcare providers, and ensuring coding accuracy and compliance.

A Certified Coding Specialist (CCS) or Certified Professional Coder (CPC) certification is required for this role.

Strong knowledge of medical terminology, anatomy, and physiology, proficiency in coding systems (ICD-10-CM, CPT, HCPCS), attention to detail, analytical skills, and effective communication are necessary for a Medical Coder.

Review and Approval:

This job description has been reviewed and approved by the HR department.