Description

Overview: Our Patient Accounts Department is seeking a skilled and detail-oriented Medical Coder to join our coding team. The Medical Coder plays a critical role in accurately assigning diagnostic and procedural codes to medical services, ensuring compliance with coding guidelines and regulations.

Requirements

Key Responsibilities:

• Review and analyze medical records, documentation, and patient information to assign appropriate diagnostic and procedural codes (ICD-10-CM, CPT, HCPCS).
• Ensure accurate code selection based on physician notes, lab results, and other relevant information.
• Adhere to coding guidelines, regulations, and compliance standards (e.g., CMS, AMA, AHIMA) to minimize errors and optimize reimbursement.
• Collaborate with healthcare providers, billing staff, and clinicians to clarify documentation and resolve coding discrepancies.
• Perform regular audits and quality checks to validate coding accuracy and completeness.
• Stay updated on changes in coding rules, regulations, and industry trends to maintain coding proficiency.
• Maintain confidentiality and security of patient health information (PHI) in accordance with HIPAA guidelines.
• Check and clear Payer and Clearing house rejections.
• Fix, rebill and appeal own denials if needed.
• Other duties assigned.

Qualifications: Preferred

• Certification in medical coding (e.g., CPC, CCS, RHIT) from a recognized coding program.
• Minimum of 2 years' experience in medical coding in a healthcare setting.
• Proficiency in ICD-10-CM, CPT, HCPCS coding systems and medical terminology.
• Familiarity with coding software and electronic health records (EHR) systems.
• Strong attention to detail and accuracy in code assignment.
• Knowledge of healthcare billing practices and reimbursement processes.
• Excellent communication and interpersonal skills.

Key Competencies:

• Analytical thinking and problem-solving abilities to interpret complex medical documentation.
• Ability to work independently and collaboratively within a team environment.
• Time management skills to prioritize tasks and meet deadlines.
• Adaptability to changes in coding guidelines and technology.
• Commitment to maintaining coding accuracy and compliance.