Medical Records & Coding Specialist

DaMar Staffing; Davis (CA); On-site; USD 55,000 - 85,000; Full time

Job summary

DaMar Staffing is seeking a Medical Records Reviewer/Coder to assess completeness of medical records, ensure accurate coding, and verify medical necessity for services rendered. The role involves assigning ICD, CPT, HCPCS, CDT, and DSM codes based on documentation and ensuring alignment with current guidelines.

The ideal candidate will review provider notes to confirm E/M levels and appropriate code assignments, maintaining high accuracy and compliance in a fast-paced environment.

Responsibilities

• Reviews medical records for completeness, including required identifiers, signatures, dates, and reports associated with services rendered.
• Evaluates documentation for accuracy, consistency, medical necessity, and modifier usage; verifies that final diagnoses accurately reflect care provided.
• Reviews provider documentation to ensure appropriate Evaluation and Management (E/M) levels and correct CPT code assignment.
• Assigns and sequences ICD, CPT, HCPCS, CDT, and DSM codes based on documented diagnoses and procedures.
• Ensures diagnostic and procedural terminology aligns with current medical nomenclature and official coding guidelines.

Job description

DaMar Staffing is seeking a Medical Records Reviewer/Coder to assess completeness of medical records, ensure accurate coding, and verify medical necessity for services rendered. The role involves assigning ICD, CPT, HCPCS, CDT, and DSM codes based on documentation and ensuring alignment with current guidelines.

The ideal candidate will review provider notes to confirm E/M levels and appropriate code assignments, maintaining high accuracy and compliance in a fast-paced environment.