Medical Coders Job Description
Responsibilities:
Coding and abstracting of patient encounters, including diagnostic and procedural information, significant reportable elements, and complications.
Researches and analyzes data needs for reimbursement.
Analyzes medical records and identifies documentation deficiencies
Reviews and verifies documentation supporting diagnoses, procedures, and treatment results.
Identifies diagnostic and procedural information
Audits clinical documentation and coded data to validate documentation support services rendered for reimbursement and reporting purposes.
Assigns codes for reimbursements, research, and compliance with regulatory requirements utilizing guidelines.
Follows coding conventions. Serves as coding consultant to care providers.
Identifies discrepancies, potential quality of care, and billing issues.
Researches, analyzes, recommends, and facilitates a plan of action to correct discrepancies and prevent future coding errors.
Optional:
Identifies reportable elements, complications, and other procedures.
Assists lead or supervisor in orienting, training, and mentoring staff.
Provides ongoing training to staff as needed.
Handles special projects as requested.
Medical Coder Qualifications/Skills:
Excellent written and spoken communication skills
Experience in the US Healthcare Industry is an advantage
Experience in medical records, medical coding, and use of EMR/EHR platforms is an asset
University/college degree, preferably a medical-allied course
With any of the following certifications: CPC, COC, CCS, CIC