Medical Records Technician (Coder)

DaMar Staffing; Winterhaven (CA); On-site; USD 55,000 - 75,000; Full time

Job summary

DaMar Staffing in Winterhaven, CA is seeking a medical coder to review medical records for completeness and to assign ICD, CPT, HCPCS, CDT and DSM codes based on documented services.

The role ensures accuracy, medical necessity, and proper modifier usage, and verifies that final diagnoses reflect the care provided in accordance with current coding guidelines.

The coder will also verify E/M levels and ensure coding aligns with official nomenclature and guidelines.

Responsibilities

• Reviews medical records for completeness, including identifiers, signatures, dates, and service reports.
• Evaluates documentation for accuracy, medical necessity, and modifier usage; verifies that final diagnoses reflect care provided.
• Reviews provider documentation to ensure proper Evaluation and Management (E/M) levels and CPT codes.
• Assigns and sequences ICD, CPT, HCPCS, CDT, and DSM codes based on documented diagnoses and procedures.
• Ensures terminology aligns with current medical 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.