Medical Coder

DaMar Staffing

Commack (NY)

Hybrid

USD 34,000 - 49,000

Full time

14 days+

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Benefits offered by this job

Benefits

PTO

401K

Life Insurance

Student loan reimbursement

Job summary

DaMar Staffing is seeking a Medical Coder in Commack, NY for a full-time, hybrid position. The role focuses on accurate coding to support proper reimbursement and regulatory compliance, with responsibilities spanning ICD-10-CM, HCPCS, and CPT coding, as well as provider education and audits.

The ideal candidate will review records, train providers on coding accuracy, and stay current with coding guidelines. The office is located in Commack, offering benefits and a structured work environment.

Responsibilities

Audits records to ensure proper submission of services prior to billing on pre-determined charges.
Receives hospital information to properly bill provider services for hospital patients.
Provides correct ICD-10-CM diagnosis codes for diagnoses.
Provides correct HCPCS code on procedures and services performed.
Provides correct CPT code on procedures and services performed.
Contacts providers to train and update them with coding information.
Attends seminars to stay current on coding issues.
Audits medical records to ensure correct coding and regulatory compliance.
Ensures final diagnoses and procedures match physician documentation.
Analyzes documentation to assign appropriate E&M levels with CPT codes.
Reviews billing edits and corrects based on documentation and medical necessity.
Performs other related duties as needed.

Job description

EOE Statement

We are an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status or any other characteristic protected by law.

Description

Under general supervision, reviews, analyzes and assures the final diagnoses and procedures as stated by the practicing providers are valid and complete. Accurately codes office and hospital procedures for providers to ensure proper reimbursement. Provides education to the providers to ensure proper documentation and assignment of ICD-10-CDM, HCPCS and CPT codes. Reports to the Coding Operations Manager. Will support Meeting House Lane Medical Practice, PC and SB Administrative Services.

Responsibilities

Audits records to ensure proper submission of services prior to billing on pre-determined selected charges.
Receives hospital information to properly bill provider services for hospital patients.
Supplies correct ICD-10-CM diagnosis codes on all diagnoses provided.
Supplies correct HCPCS code on all procedures and services performed.
Supplies correct CPT code on all procedures and services performed.
Contacts providers to train and update them with correct coding information.
Attends seminars and in-services as required to remain current on coding issues.
Audits medical records to ensure proper coding is completed and to ensure compliance with federal and state regulatory bodies.
Accurately follows coding guidelines and legal requirements to ensure compliance with federal and state regulatory bodies.
Maintains all mandatory in-services.
Maintains compliance standards in accordance with the Compliance policies. Reports compliance problems appropriately.
Determines the final diagnoses and procedures stated by the physician or other health care providers are valid and complete.
Quantitative analysis - Performs a comprehensive review of the record to ensure the presence of all component parts, such as patient and record identification, signatures and dates where required, and all other necessary data in the presence of all reports that appear to be indicated by the nature of the treatment rendered.
Qualitative analysis - Evaluates the record for documentation consistency and adequacy. Ensures that the final diagnosis accurately reflects the care and treatment rendered. Reviews the records for compliance with established reimbursement and special screening criteria.
Analyzes provider documentation to assure the appropriate Evaluation & Management (E&M) levels are assigned using the correct CPT code
Reviews department edits in billing software and make any corrections based on supported documentation and medical necessary.
Performs other related duties, which may be inclusive, but not listed in the job description.