Medical Records Technician (Coder)

DaMar Staffing; Richmond (VA); On-site; USD 52,000 - 78,000; Full time

Job summary

DaMar Staffing is seeking a Medical Coding Specialist to review medical records for completeness and accuracy, ensuring proper E/M levels and CPT coding based on provider notes. The role involves assigning and sequencing ICD, CPT, HCPCS, CDT, and DSM codes in line with current guidelines.

The ideal candidate will verify medical necessity, maintain consistency with documentation, and ensure terminology matches official coding standards across services rendered.

Qualifications

• Reviews medical records for completeness, including identifiers, signatures, dates, and reports.
• Evaluates documentation for accuracy, consistency, medical necessity, and modifier usage.
• Verifies final diagnoses reflect care provided.
• Reviews provider documentation to ensure appropriate Evaluation and Management 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.

Responsibilities

• Review medical records for completeness and accuracy.
• Assess documentation for medical necessity and proper modifier usage.
• Ensure correct E/M level and CPT coding based on provider notes.
• Code and sequence ICD, CPT, HCPCS, CDT, and DSM codes per guidelines.
• Maintain alignment with current coding 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.