About the role

  • Medical Records Coder managing inpatient and outpatient coding compliance with federal regulations. Conducting quality reviews of coding and maintaining up-to-date guidelines for accuracy and compliance.

Responsibilities

  • Reviews, interprets, and assigns diagnostic and procedural codes based upon medical record documentation according to correct coding principles.
  • Provides skilled and specialized technical work in documentation and coding for medical billing, abstracts complex patient-related data from medical records and coding of diagnoses and procedures using ICD-10 and CPT codes.
  • Works coding related charge review and claim edits daily to ensure timely and accurate billing.
  • Researches and resolves coding related issues, and assists in meeting productivity and quality standards.
  • Contacts other facilities to obtain medical records and information need to bill for services rendered.
  • Verifies fee tickets and physician notes for completeness to include abstracting and entering relevant medical information from the medical records; checks for required signatures; assures proper documentation guidelines are followed.
  • Interacts with regulator classification agencies and patients when clarification and additional information is required for documentation.
  • Reviews charge documents for completeness.
  • Updates coding books with changes as accepted and published by regulatory agencies.
  • Performs all other duties as assigned.

Requirements

  • Five (5) years experience in medical record abstraction and coding is required.
  • High school diploma or GED is required.

Benefits

  • Proficiency in ICD-10 and CPT coding
  • In-depth understanding of medical terminology, anatomy and physiology
  • Meticulous attention to detail and accuracy
  • A solid customer service acumen and interpersonal skills to effectively work with both internal and external customers and responds to requests in a timely and respectful manner
  • Strong verbal, written and interpersonal communication skills.

Job title

Senior Medical Records Coder

Job type

Experience level

Senior

Salary

Not specified

Degree requirement

High School Diploma

Location requirements

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