Medical Records Technician (Coder)

DaMar Staffing; Santa Fe (NM); On-site; USD 55,000 - 75,000; Full time

Job summary

DaMar Staffing is seeking a qualified Medical Coder to review medical records for completeness and accuracy in Santa Fe, NM. You will assign ICD, CPT, HCPCS, CDT, and DSM codes based on documented diagnoses and procedures, ensuring alignment with current guidelines.

Responsibilities include evaluating documentation for medical necessity, ensuring proper E/M levels and accurate code assignment, and verifying that final diagnoses reflect provided care. Remote work not indicated.

Responsibilities

• Reviews medical records for completeness, including identifiers, signatures, dates, and associated reports.
• Evaluates documentation for accuracy, consistency, medical necessity, and modifier usage.
• Reviews provider documentation to ensure appropriate 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 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.