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Certified Medical Coder

Company:
Sun Life Health
Location:
Casa Grande, AZ, 85122
Posted:
May 19, 2025
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Description:

Job Details

PALM CENTER ADMIN - CASA GRANDE, AZ

Full-time

8:00am-5:00pm Monday-Friday

Description

STATEMENT OF PURPOSE:

To ensure correctness of data submitted for reimbursement by reviewing encounter data for accuracy and completeness and assigning numeric codes for each diagnosis and procedure.

ESSENTIAL FUNCTIONS:

Receives completed daily folders from each facility/department and analyzes each for completeness, accuracy of input and compliance with SLFHC policy and rate schedule

Reviews patient records and assigns numeric codes for each diagnosis and procedure

Reads and analyzes medical records to help identify all diagnoses and procedures relevant to the current episode of patient care

Researches encounter integrity for ICD-9, ICD-10 and CPT links and corrects if necessary

Confirms encounter information and obtains missing information by reviewing the patients medical records chart

Clarifies inconsistent, ambiguous or non-specific information in a medical record by consulting with the supervisor or the responsible medical practitioner

Confirms codes to patients current episode of care

Notifies Lead Certified Medical Coder when training issues are discovered

Formulates training sessions or literature pertaining to coding and input issues

Qualifications

EDUCATION AND EXPERIENCE:

High School diploma or equivalency

College courses in Biology, Medical Terminology, Coding

Certified Coder

Three years experience in a medical office environment

Computer literate

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