Medical Coder

Job Description

Job Summary:

The Medical Coder is responsible for reviewing medical records and accurately assigning standardized codes for diagnoses, procedures, and services provided by healthcare providers. These codes are used for billing, insurance claims processing, and statistical analysis. The role requires attention to detail, knowledge of medical terminology, anatomy, coding systems, and compliance with healthcare regulations.

Key Responsibilities:

Review and analyze medical records, including physician notes, lab results, and other documentation.

Assign appropriate ICD-10-CM, CPT, HCPCS, and other relevant codes based on the documentation.

Ensure accuracy and completeness of coding to facilitate correct billing and reimbursement.

Stay updated with coding guidelines, healthcare regulations, and payer-specific policies.

Collaborate with billing department, healthcare providers, and insurance companies to resolve discrepancies or issues.

Maintain confidentiality of patient information in compliance with HIPAA and other regulations.

Prepare and submit accurate claims and reports as required.

Assist with audits and documentation reviews to ensure compliance and accuracy.

Participate in ongoing education and training to stay current with coding updates.

Qualifications:

Certification in Medical Coding (e.g., CPC, CCS, CCS-P, or equivalent) preferred.

Knowledge of medical terminology, anatomy, and physiology.

Familiarity with healthcare billing and coding software.

Strong attention to detail and analytical skills.

Good communication and organizational skills.

Prior experience in medical coding or healthcare billing is a plus.

Full-time