Medical Records Technician (Coder)

DaMar Staffing; Martin (SD); On-site; USD 55,000 - 90,000; Full time

Job summary

DaMar Staffing seeks a medical coder to review records for completeness and accuracy, ensuring proper identifiers, dates, and service reports accompany each entry.

The role includes evaluating documentation for medical necessity and appropriate modifiers, confirming final diagnoses reflect care, and assigning ICD/CPT/HCPCS/DSM codes in line with current guidelines.

Qualifications

• Review medical records for completeness and proper identifiers, signatures, dates, and service reports.
• Evaluate documentation for accuracy, medical necessity, and modifier usage; verify final diagnoses reflect care.
• Review provider documentation to ensure correct Evaluation and Management 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 official coding guidelines.

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 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.

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.