Medical Coder

Cape Cod Healthcare Inc; Hyannis (MA); On-site; USD 34,440 - 46,838; Full time

Job summary

Cape Cod Healthcare Inc. seeks a Medical Coder in Hyannis, MA to assign and group diagnoses, procedures, levels, and modifiers using coding rules and documentation. You will enter data and verify coding accuracy to support reimbursement and compliance.

The role requires CPC eligibility, 2 years outpatient coding experience preferred, and strong knowledge of ICD-10 and CPT codes. Collaboration with physicians is essential for documentation gaps and quality outcomes.

Qualifications

• High School Diploma or GED required.
• Two years of outpatient coding experience preferred.
• Must meet CPC certification eligibility and obtain CPC within 3 months.
• Ability to read, write and communicate in English.
• Comprehensive understanding of ICD-10 and CPT coding.
• Successful passage of coding exam with 80% or higher.
• Demonstrated ability to work independently and in a team.

Responsibilities

• Analyzes, sequences and validates assigned codes using encoder and resources.
• Codes diagnoses, procedures, level codes and modifiers based on documentation.
• Enters demographics and clinical data into computer system.
• Queries physicians to obtain additional documentation for accurate coding.
• Maintains at least 95% accuracy and adheres to productivity standards.
• Mentors new coding personnel and supports ongoing education.

Skills

English proficiency

Education

High School Diploma or GED

Tools

ICD-10 & CPT coding

Job description

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Thepayrange displayed on each job posting reflects the anticipated range for new hires. A successful candidate’s actual compensation will be determined after taking factors into consideration such as the candidate’s work history, experience, skill set, and education. This is not inclusive of the value of Cape Cod Healthcare’s benefits package (if applicable), which includes among other benefits, healthcare/dental/vision and retirement. For annual salaries this is based on full-time employment.

Job Description - Medical Coder (260729-50006241)

Job Description

Medical Coder - ( 260729-50006241 )

Purpose of Position : To assign and group diagnoses, procedure and level codes based on medical record documentation in accordance with coding compliance, regulatory and reimbursement requirements. To ensure appropriate coding for case mix classification and expected reimbursement based on assigned diagnosis, procedure and level codes and reimbursement classifications as supported by medical record documentation. To enter diagnoses, procedure and level codes and patient demographic information into computer system.

Description

• Analyzes, sequences and validates assigned codes based on medical record documentation using the automated encoder, book and coding compliance resources.
• Demonstrates complete understanding of coding rules, anatomy, physiology and medical terminology to appropriately code patient information.
• Reviews all medical record documentation to determine and assign diagnoses, procedures, level codes and modifiers.
• Ensures that coding compliance, regulatory and reimbursement requirements are met through the process of assigning reimbursement classifications.
• Abstracts and enters demographic, clinical and related patient information into the computer system.
• Assess adequacy of documentation and queries physicians and other healthcare providers to obtain additional medical record documentation or to clarify documentation to ensure accurate and appropriate coding and grouping.
• Reconciles, identifies and retrieves medical records to be coded.
• Maintains a 95% ongoing accuracy rate.
• Consistently achieves daily coding output within the minimal productivity standards set by MACC. Self-manages and prioritizes work flow to achieve timely submission of claims and optimal productivity.
• Maintains accurate productivity logs and provides this information to management in a timely fashion.
• Assists in the orientation and development of new coding personnel.
• Assumes professional responsibility for development of skills and ongoing education to maintain Active Coding certification.
• Remains abreast of developments in health information management by pursuing a program of professional development, attending educational programs and meetings and reviewing pertinent literature.
• Continuously monitors medical record documentation, individual performance and department workflow as related to the coding function to identify problems and potential solutions (especially related to errors and compliance issues). Communicates with the PB Coding Manager to find solutions and implement changes to increase productivity and department efficiency.
• Performs all duties and interacts with others in a professional manner.
• Performs other related duties as assigned.

Qualifications

• High School Diploma or GED
• Two years of Outpatient Coding experience preferred
• Must meet CPC Certification eligibility requirements and must obtain CPC Certification within 3 months of position
• Ability to read, write and communicate in English
• Comprehensive understanding of ICD10 and CPT coding
• Successful passage of Coding exam, demonstrating understanding of coding and impact on reimbursement with a grade of 80% or higher
• Demonstrated ability to create strong working relations with physicians and practices.
• Capable of working independently as well as in a team environment

Organization

Primary Location

Massachusetts-Hyannis

Annual/Hourly : Hourly

Hiring Pay Range : $ 25 - $ 34