Medical Coder

Responsibilities

• Review and analyze patient medical records and assign accurate codes for diagnoses and procedures.
• Maintain up-to-date knowledge of coding guidelines and reimbursement reporting requirements.
• Review coding for accuracy and completeness prior to submission to billing system.
• Identify and report any unusual, high, or suspect coding levels.
• Work closely with the billing team to ensure all bills are satisfied in a timely manner.
• Consult with physicians and other healthcare providers to clarify missing or inadequate record information and to determine appropriate coding.
• Provide education to providers regarding coding compliance, documentation requirements, and reimbursement issues.
• Maintain strict patient and physician confidentiality and follows state, federal, and organizational guidelines for professional ethics.
  

Qualifications

• Certified Professional Coder-Apprentice (CPC-A) required.
• Minimum of 5 years of experience in Ortho, ENT, or General Surgery coding.
• Proficient in Athena EMR.
• Knowledge of payer specific requirements and guidelines.
• Strong knowledge of medical terminology, anatomy, and physiology.
• Excellent computer skills, including proficiency in Microsoft Office Suite.
• Exceptional attention to detail, strong analytical skills, and the ability to multi-task.
• Strong communication and interpersonal skills.
• Ability to work independently and in a team environment.
• Commitment to high professional ethical standards and a diverse workplace.
• Ability to adapt to changes in the medical coding field.
• Experience with ICD-10-CM, CPT, and HCPCS Level II coding required.
• Ability to maintain a high level of accuracy and productivity under pressure.