Medical Coder

• Coding and Abstracting:
• Assign appropriate ICD-10-CM, CPT, and HCPCS codes to diagnoses, procedures, and services based on medical record documentation.
• Abstract relevant information from medical records and ensure completeness and accuracy in coding.

Quality Assurance:

• Conduct thorough reviews of coded medical records to ensure compliance with coding guidelines, regulations, and organizational policies.
• Provide feedback and education to junior coders to enhance coding accuracy.

Auditing and Compliance:

• Perform regular coding audits to identify potential compliance issues and coding discrepancies.
• Stay updated on changes in coding regulations and implement necessary changes in coding practices.

Clinical Documentation Improvement (CDI):

• Collaborate with healthcare providers and CDI teams to improve the quality of clinical documentation for accurate coding.
• Educate providers on coding and documentation best practices.

Reporting and Analysis:

• Generate reports on coding accuracy, productivity, and compliance for management review.
• Analyse coding data trends and provide insights for process improvement.
• Provide training and mentorship to junior coders and other healthcare staff on coding guidelines and updates.