Medical Coder

ClearSky Health; United States; On-site; USD 55,000 - 75,000; Full time

Job summary

ClearSky Health seeks a Medical Coder to review and assign diagnostic and procedure codes for patient records, ensuring compliance with state and federal regulations. You will verify chart accuracy, query clinicians when needed, and stay current with coding guidelines.

The role requires knowledge of CPT and ICD-10 coding, medical terminology, and HIPAA protections. Rehabilitation coding experience and an Associate's degree are preferred, with a focus on accurate, timely coding.

Qualifications

• Current knowledge of CPT and ICD-10 coding principles, government regulations, and payer requirements.
• Working knowledge of medical terminology, anatomy, and physiology.
• Familiarity with reimbursement guidelines in the prospective payment system and physician interfaces.

Responsibilities

• Assigns diagnostic and procedure codes using ICD-10-CM.
• Ensures codes are accurate and properly sequenced per regulations.
• Maintains coding accuracy above 95%.
• Reviews patient charts for accuracy and completeness.
• Queries providers for clarification to improve coding specificity.

Skills

CPT and ICD-10 coding

HIPAA compliance

Medical terminology

Regulatory knowledge

Education

Associate's degree preferred

Job description

Medical Coder

Our hospital provides high-quality care that transforms the lives of those living with disabling injuries and illnesses. We distinguish ourselves through our commitment to excellence, to our patients, to our employees, and to the communities we serve.The Medical Coder reviews and assigns diagnostic and procedure codes to patient records for reimbursement and data purposes, in keeping with state and federal regulations. This position must integrate company values into daily practice.

Essential Functions Include:

• Assigns codes using the International Classification of Disease-10th Revision-Clinical modification (ICD-10-CM).
• Ensures codes are accurate and sequenced correctly in accordance with government and insurance regulations.
• Maintains a 95% threshold for coding accuracy.
• Receives and reviews patient charts and documents for accuracy.
• Identifies discrepancies and follows up with the provider on any documentation that is insufficient or unclear.
• Queries physician for clarification and diagnostic details as needed for accuracy and specificity in coding.
• Remains up-to-date and knowledgeable of coding and diagnostic procedures and remains current on federal legislative changes.
• Complies with the Health Insurance Portability and Accountability Act of 1996 (HIPAA), to protect patient confidentiality.
• Completes required trainings, as assigned.

Minimum Job Requirements

• 3 years medical coding experience OR Coding certification (AHIMA or AAPC) required.
• Rehabilitation coding experience preferred.
• Associate's degree in related field preferred.

Required Knowledge, Skills & Abilities

• Current knowledge of CPT and ICD-10 coding principles, government regulations, protocols, and third party payer requirements regarding coding and billing.
• Working knowledge of medical terminology, anatomy, and physiology.
• Knowledge of state and federal regulatory guidelines for reimbursement in the prospective payment system to interface with physicians.

Physical Requirements Over the Course of a Shift

• A significant amount of sitting and reaching.
• Lifting/exerting of up to 10 lbs.
• Sufficient manual dexterity to operate equipment and computer keyboard.
• Close vision and the ability to adjust focus.
• Ability to hear overhead pages.