Medical Coder

The Medical Coder reviews and assigns diagnostic and procedure codes to patient records for reimbursement and data purposes in accordance with state and federal regulations. This role supports a rehabilitative healthcare setting and is responsible for maintaining coding accuracy, documentation integrity, and compliance with applicable privacy and reimbursement rules.

Key responsibilities include:

• Assigning codes using ICD-10-CM.
• Ensuring codes are accurate and sequenced correctly according to government and insurance regulations.
• Maintaining a 95% coding accuracy threshold.
• Reviewing patient charts and documentation for accuracy.
• Identifying discrepancies and following up with providers when documentation is insufficient or unclear.
• Querying physicians for clarification and diagnostic details as needed.
• Staying current on coding practices, diagnostic procedures, and federal legislative changes.
• Complying with HIPAA to protect patient confidentiality.
• Completing required training as assigned.