Certified Medical Coder: Precision in Claims & Compliance

Duncan Regional Hospital; Duncan (OK); On-site; USD 48,000 - 64,000; Full time

Job summary

Duncan Regional Hospital in Duncan, OK, seeks a Full-Time Medical Coder to review patient records after clinics, assign ICD-10-CM, CPT, and HCPCS codes, and prepare claims for insurers. The role requires attention to detail and knowledge of coding guidelines, with responsibilities spanning verification, documentation checks, and billing accuracy.

The coder will interact with clinical staff to resolve ambiguities, ensure medical necessity, and maintain compliance with coding standards.

Qualifications

• Minimum: High school diploma or equivalent; CPC/CCS/CMC or similar certifications preferred.
• Proven knowledge of CPT and ICD-10 coding policies and guidelines.

Responsibilities

• Assigns and sequences ICD-10-CM, CPT, HCPCS codes per guidelines and regulations.
• Ensures correct CPT/ICD-10 coding and sequencing for government and insurer requirements.
• Queries providers when documentation is unclear or insufficient for coding.
• Enters charges such as E/M levels, infusions, injections, and observation hours.
• Participates in ongoing coding education to stay updated on guidelines and reporting requirements.
• Identifies and reports discrepancies or billing issues.
• Reviews records to ensure documentation supports services and medical necessity.
• Adheres to Ethical Coding standards and secure handling of confidential records.
• Performs other related duties as assigned.

Skills

ICD-10-CM coding

CPT coding

HCPCS

EHR systems

Medical terminology

Communication skills

Attention to detail

English proficiency

Documentation review

Billing compliance

Education

High school diploma or equivalent

Tools

Electronic Health Record (EHR) software

Job description

Duncan Regional Hospital in Duncan, OK, seeks a Full-Time Medical Coder to review patient records after clinics, assign ICD-10-CM, CPT, and HCPCS codes, and prepare claims for insurers. The role requires attention to detail and knowledge of coding guidelines, with responsibilities spanning verification, documentation checks, and billing accuracy.

The coder will interact with clinical staff to resolve ambiguities, ensure medical necessity, and maintain compliance with coding standards.