ICD-10 Coder

DaMar Staffing; United States; On-site; USD 55,000 - 75,000; Full time

Job summary

DaMar Staffing is seeking a Medical Coder to read and interpret medical record documentation to identify all diagnoses and procedures for E/M, surgical, radiology, pathology, and infusion charges.

The role requires applying ICD-10-CM and CPT-4 guidelines, aligning codes with documentation, and ensuring proper sequencing to maximize reimbursement. Knowledge of anatomy and coding terminology is essential, with ongoing education to maintain certification.

Responsibilities

• Reads and interprets medical record documentation to identify all diagnosis, conditions, problems and procedures for Evaluation & Management, surgical procedure, radiologic service, pathologic service, ancillary service, radiation oncology, and/or infusion charges.
• Clarifies conflicting, ambiguous, or non-specific information appearing in a medical record by consulting the appropriate physician.
• Applies Official ICD-10-CM Guidelines to select first-listed diagnosis, primary procedure, complications, co-morbid conditions, other diagnoses and significant procedures which require coding.
• Applies knowledge of ICD-10-CM and CPT-4 instructional notations and conventions to locate and assign the correct diagnostic and procedural codes and sequence them correctly.
• Applies knowledge of current approved ICD-10-CM and CPT-4 coding guidelines to assign and sequence the correct diagnoses and procedure codes.
• Applies knowledge of anatomy, clinical disease processes, and diagnostic and procedural terminology to assign accurate codes to diagnoses and procedures.
• Applies the Basic Coding Guidelines for professional fee physician coding to select and sequence diagnoses, conditions, problems, or other reasons which require coding for professional fee charges.
• Applies knowledge of CPT-4 coding guidelines and notes to locate the correct codes for all services and procedures performed during the encounter and sequence them correctly.
• Applies knowledge of government and commercial payer reimbursement guidelines to ensure optimal reimbursement.
• Ability to utilize computerized encoder/grouper as a reference tool for coding.
• Keeps current with ICD-10-CM and CPT-4 code changes, coding guidelines, and coding updates.
• Assist with charge corrections as identified when coding professional fee services.
• Reviews and completes required reporting documents as required by external and internal systems.
• Completes productivity reports and submits them to the manager, supervisor, or lead.
• Consistently meets coding quality standards and thresholds.
• Attends meetings as required.
• Successfully completes required education courses to maintain current coding certification.

Skills

ICD-10-CM coding

CPT-4 coding

Medical record interpretation

Anatomy knowledge

Coding guidelines

Reimbursement understanding

Encoder/Grouper tools

Attention to detail

Productivity reporting

Tools

Encoder/Grouper

Job description

• Reads and interprets medical record documentation to identify all diagnosis, conditions, problems and procedures for Evaluation & Management, surgical procedure, radiologic service, pathologic service, ancillary service, radiation oncology, and/or infusion charges.
• Clarifies conflicting, ambiguous, or non- specific information appearing in a medical record by consulting the appropriate physician.
• Applies Official ICD-10-CM Guidelines to select first-listed diagnosis, primary procedure, complications, co-morbid conditions, other diagnoses and significant procedures which require coding.
• Applies knowledge of ICD-10-CM and CPT-4 instructional notations and conventions to locate and assign the correct diagnostic and procedural codes and sequence them correctly.
• Applies knowledge of current approved ICD-10-CM and CPT-4 coding guidelines to assign and sequence the correct diagnoses and procedure codes.
• Applies knowledge of anatomy, clinical disease processes, and diagnostic and procedural terminology to assign accurate codes to diagnoses and procedures.
• Applies the Basic Coding Guidelines for professional fee physician coding to select and sequence diagnoses, conditions, problems, or other reasons which require coding for professional fee charges.
• Applies knowledge of CPT-4 coding guidelines and notes to locate the correct codes for all services and procedures performed during the encounter and sequence them correctly.
• Applies knowledge of government and commercial payer reimbursement guidelines to ensure optimal reimbursement.
• Ability to utilize computerized encoder/grouper as a reference tool for coding.
• Keeps current with ICD-10-CM and CPT-4 code changes, coding guidelines, and coding updates.
• Assist with charge corrections as identified when coding professional fee services.
• Reviews and completes required reporting documents as required by external and internal systems.
• Completes productivity reports and submits them to the manager, supervisor, or lead.
• Consistently meets coding quality standards and thresholds.
• Attends meetings as required.
• Successfully completes required education courses to maintain current coding certification.