Medical Coder

Responsibilities

• Review and evaluate inpatient and outpatient medical records to extract diagnostic, procedural, and demographic information.
• Assign and sequence diagnosis and procedure codes accurately using ICD-10-CM and CPT-4 guidelines.
• Maximize reimbursement through proper application of coding rules and regulations.
• Abstract information for financial, statistical, and billing databases.
• Identify questionable or poorly documented cases and consult with physicians or medical records leadership for clarification.
• Collaborate with medical staff, records staff, and billing staff on coding-related issues.
• Verify information on abstract forms and maintain a weekly status log of admissions, transfers, and discharges.
• Maintain strict confidentiality of patient and hospital information.

Qualifications

• Medical coding certificate required.
• ICD-10 certified.
• CCS certification through AHIMA or CPC certification through AAPC required.
• Knowledge of medical terminology, anatomy, physiology, pathology, pharmacology, diagnostic testing, and medical procedures.
• Strong working knowledge of ICD-10-CM and CPT-4 classification systems.
• Knowledge of Medicare, Medicaid, and third-party payer rules and reimbursement policies.
• Ability to work from paper medical records.
• Valid driver's license and access to a personal vehicle for required travel.
• Experience as a Coding Abstractor or Coding Specialist in a hospital reimbursement setting is preferred.