Medical Coder - 01 April || Raj Thomas ( D/s )

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:

Ø  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).

Ø  Compliance: Coders comply with medical coding guidelines and policies to ensure accurate and consistent coding practices.

Ø  Review and Verification: They receive and review patients’ charts and documents for verification and accuracy.

Ø  Data Needs and Sequencing: Coders analyze medical records, identify documentation deficiencies, and ensure proper sequencing of codes according to government and insurance regulations.

Ø  Resource and Expertise: Medical coders serve as subject matter experts, assisting other coding staff and verifying documentation for diagnoses, procedures, and treatment results.

Qualifications:

Ø  Work Experience: Proven work experience as a Medical Coder or in a similar role (at least 2+ years).

Ø  Education: A high school diploma or GED is required.

Ø  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.

Ø  Skills:

o    Proficient computer skills.

o    Familiarity with coding software.

o    Excellent communication (both verbal and written) and organizational skills.

o    Ability to maintain confidentiality.