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Overview
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Medical Coding Specialist
Responsibilities
- The duties and responsibilities of a Medical Coder vary from one healthcare facility to another. The main duty of a Medical Coder is assigning codes to medical procedures and diagnoses.
- Making sure that codes are assigned correctly and sequenced appropriately as per government and insurance regulations
- Complying with medical coding guidelines and policies
- Receiving and reviewing patients’ charts and documents for verification and accuracy
- Following up and clarifying any information that is not clear to other staff members
- Collecting information made by the Physician from different sources to prepare monthly reports
- Implementing strategic procedures and choosing strategies and evaluation methods that provide correct results
- Examining any medical malpractice that has been reported by analyzing and identifying the medical procedures, diagnoses or events that lead to the
- Complies with hospital and medical facility policies, including those relating to HIPAA and Joint Commission.
- Performs other clerical duties and tasks to improve provider productivity and clinic workflow as assigned.
- Assign codes to diagnoses and procedures, using ICD (International Classification of Diseases) and CPT (Current Procedural Terminology) codes
- Ensure codes are accurate and sequenced correctly in accordance with government and insurance regulations
- Follow up with the provider on any documentation that is insufficient or unclear
- Communicate with other clinical staff regarding documentation
- Search for information in cases where the coding is complex or unusual
- Receive and review patient charts and documents for accuracy
- Review the previous day's batch of patient notes for evaluation and coding
- Ensure that all codes are current and active
Required skills and qualifications
- 5-7 years of experience as Medical Coder
- Medical coding or successful completion of a certification program (CPC)
- Bachelor’s degree with pre-health career track preferred
- Organizational skills
- Professionalism, confidentiality, and organization
- Solid oral and written communication skills
- Strong knowledge of anatomy, physiology and medical terminology
- Expert with ICD-X codes and CPT Procedures
- Skilled in operating various medical record software and hardware, word-processing, and database software programs
Seniority and Employment Details
- Seniority level: Associate
- Employment type: Full-time
- Job function: Health Care Provider
- Industries: Hospitals and Health Care
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