Medical Records Technician (Coder)

DaMar Staffing; City of Lockport (NY); On-site; USD 55,000 - 75,000; Full time

Job summary

DaMar Staffing is seeking a Medical Records Coder Reviewer to ensure completeness and accuracy of medical records and associated coding. You will verify diagnoses correspond to care provided and review CPT/E/M levels for proper coding.

Responsibilities include aligning terminology with current guidelines, assigning ICD/CPT/HCPCS codes, and ensuring documentation supports medical necessity and proper coding standards.

Qualifications

• Experience with medical coding systems is a plus.

Responsibilities

• Review medical records for completeness, including identifiers, signatures, dates, and reports.
• Evaluate documentation for accuracy, consistency, medical necessity, and correct modifier usage.
• Verify that final diagnoses reflect care provided.
• Review provider documentation to ensure appropriate Evaluation and Management (E/M) levels and CPT code assignment.
• Assign and sequence ICD, CPT, HCPCS, CDT, and DSM codes based on documented diagnoses and procedures.
• Ensure terminology aligns with current medical nomenclature and coding guidelines.

Job description

Job Title

Help

Job Description

Reviews medical records for completeness, including required identifiers, signatures, dates, and reports associated with services rendered.

Evaluates documentation for accuracy, consistency, medical necessity, and appropriate 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.