Medical Records Technician (Coder)

DaMar Staffing; Nevada; On-site; USD 55,000 - 75,000; Full time

Job summary

DaMar Staffing is seeking a Medical Coder to review medical records for completeness and accuracy, ensure proper diagnoses reflect care, and assign ICD, CPT, HCPCS, CDT, and DSM codes according to current guidelines.

The role focuses on evaluating documentation for medical necessity and appropriate E/M levels, and ensures terminology aligns with coding standards. Strong knowledge of coding guidelines and attention to detail are required.

Qualifications

• Experience reviewing medical records for completeness and accuracy.
• Knowledge of ICD, CPT, HCPCS, CDT, and DSM coding systems.
• Familiarity with Evaluation and Management (E/M) levels and proper CPT code assignment.
• Ability to ensure medical terminology aligns with current coding guidelines.

Responsibilities

• Review medical records for completeness, including identifiers, signatures, dates, and service reports.
• Evaluate documentation for accuracy, medical necessity, and modifier usage; verify diagnoses reflect care provided.
• Review provider documentation to ensure appropriate E/M levels and correct CPT code assignment.
• Assign and sequence ICD, CPT, HCPCS, CDT, and DSM codes based on documented diagnoses and procedures.
• Ensure diagnostic and procedural terminology aligns with current medical nomenclature and official coding guidelines.

Skills

Medical coding

Documentation review

E/M levels

CPT/ICD coding

Clinical terminology

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.