Medical Coder

The Medical Coder is responsible for accurately translating medical procedures and diagnoses into standardized codes. They will review patient medical records and assign appropriate codes according to coding guidelines and regulations. This role requires knowledge of coding systems, medical terminology, and understanding of healthcare procedures.

Responsibilities

1. Review medical records to identify procedures and diagnoses.
2. Assign codes to medical services using standard coding systems (e.g., ICD-10, CPT).
3. Ensure accurate coding and adherence to coding guidelines.
4. Collaborate with healthcare professionals to clarify documentation and coding queries.
5. Maintain accurate coding records and documentation.
6. Stay updated with changes in coding systems and regulations.
7. Perform coding audits to identify discrepancies and areas for improvement.
8. Adhere to patient confidentiality and data security regulations.

Minimum Requirements

1. Certification in medical coding (e.g., CPC, CCS) is preferred.
2. Knowledge of medical coding systems, such as ICD-10 and CPT.
3. Familiarity with medical terminology, anatomy, and physiology.
4. Understanding of healthcare procedures and documentation.
5. Experience using coding software and electronic health record systems.
6. Strong attention to detail and analytical skills.
7. Effective communication and teamwork abilities.
8. Ability to maintain accuracy under pressure.