We seek a detail-oriented and organized Medical Coder to join our healthcare team. The Medical Coder will play a crucial role in accurately translating medical diagnoses, procedures, and services into appropriate codes for billing, reimbursement, and data analysis purposes. The ideal candidate should possess a strong understanding of medical terminology, coding systems, and regulatory guidelines to ensure compliance and accurate documentation.

Responsibilities:

• Review and analyze medical records, patient charts, and documentation to accurately assign appropriate codes for diagnoses, procedures, and services rendered using ICD-10-CM, CPT, and HCPCS Level II coding systems.
• Ensure the application of correct modifiers, sequencers, and other coding conventions to reflect the specificity and complexity of medical services provided.
• Collaborate with healthcare providers, physicians, nurses, and other clinical staff to clarify documentation and obtain additional information as needed for accurate coding.
• Adhere to established coding guidelines, standards, and regulations, including compliance with HIPAA regulations, to ensure accurate and ethical coding practices.
• Stay up-to-date with changes and updates in coding systems, regulations, and healthcare industry practices to maintain accurate and compliant coding processes.
• Perform regular audits and quality checks on coded data to identify and address any discrepancies, errors, or inconsistencies.
• Communicate effectively with billing and reimbursement teams to ensure accurate claims submission and timely reimbursement.
• Provide coding expertise and guidance to other healthcare professionals, as needed, to promote accurate documentation and coding practices.
• Participate in coding training and educational programs to enhance coding proficiency and maintain industry certifications.
• Contribute to the development and maintenance of coding policies, procedures, and guidelines within the organization.
• Collaborate with IT and electronic health record (EHR) teams to ensure accurate coding integration into the organization’s systems.

Qualifications:

• High school diploma or equivalent; associate’s degree in Health Information Management or related field preferred.
• A certified Professional Coder (CPC) credential from AAPC or a Certified Coding Specialist (CCS) credential from AHIMA is highly preferred.
• Minimum of 2 years of experience in medical coding, preferably in a healthcare or hospital setting.
• Strong knowledge of ICD-10-CM, CPT, and HCPCS Level II coding systems.
• Familiarity with medical terminology, anatomy, physiology, and disease processes.
• Proficiency in using electronic health records (EHR) and coding software.
• Attention to detail and ability to maintain accuracy in a fast-paced environment.
• Strong analytical and problem-solving skills.
• Excellent communication and interpersonal skills to effectively collaborate with interdisciplinary teams.
• Commitment to maintaining patient confidentiality and adhering to HIPAA regulations.
• Ability to adapt to changes in coding guidelines and industry regulations.
• Strong organizational skills and ability to manage time effectively.
• Knowledge of healthcare reimbursement processes and insurance claim submission is a plus.