Medical Records Technician (Coder)

DaMar Staffing; North Carolina; On-site; USD 50,000 - 70,000; Full time

Job summary

DaMar Staffing is seeking a medical coder auditor to review and ensure completeness of medical records, identify required identifiers, signatures, dates, and service reports.

The role evaluates documentation for accuracy, medical necessity, and modifier usage, and verifies that final diagnoses reflect the care provided; you will assign and sequence ICD, CPT, HCPCS, CDT, and DSM codes per current 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.