Medical Coder

Interpret clinical documentation and patient records to ensure diagnoses and procedures are accurately coded. Support reimbursement integrity, coding compliance, and documentation quality across assigned provider workflows.

Responsibilities include:

• Translate healthcare providers’ diagnostic and procedural documentation into coded form using organizational and regulatory guidelines.
• Review patient reports and assign appropriate ICD, CPT, and HCPCS codes for billing, reporting, research, and compliance.
• Apply evaluation and management (E/M) coding principles within specialty or service line workflows.
• Communicate with providers to clarify documentation and ensure coding reflects care rendered.
• Support provider education on CMS regulations, coding, billing, documentation, and administrative guidelines.
• Maintain productivity and quality standards for assigned coding work.
• Research potential billing discrepancies, claim denials, and reimbursement issues.
• Monitor coding and documentation trends for compliance issues and missed revenue opportunities.
• Use Epic coding workflow and related charge capture tools as needed.
• Keep current with payer rules, coding regulations, and AHIMA code of ethics.