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Job description
Medical Coder
Medical Coder is responsible for Review patient medical records and ensure accuracy of coding and maintain records in accordance with accepted medical and legal standards, complete daily assigned tasks within time with expected quality, on time communication to internal/external stakeholders and adhere to organization policies.
Job Description
· Knowledge of medical terminology, anatomy and physiology and ICD-9/10-CM, advanced medical terminologies, pharmacology
· The Medical Record Coder will code medical records in electronic formats using ICD-9-CM / ICD-10-CM for charts in dates of service over a two-year range. Monitor regulatory changes as they apply to ICD-10 coding guidelines. Serve as a resource to Medicare Advantage Coding to ensure reimbursement accuracy. Perform ongoing analysis of charts for the appropriate coding compliance. Research and resolve assigned Coding projects
· Coder is responsible for meeting and maintaining established quality coding goals as identified and updated regularly.
· Assures that all services documented in the patient’s chart are coded with appropriate CPT-4 and ICD-9 codes. When services are not documented appropriately, seeks to attain proper documentation in a timely manner.
· Achieves and maintains a high level of accuracy in professional fee coding while maintaining a high level of productivity. Accuracy will be monitored by periodic reviews by the supervisors.
· Conducts a review of patient charts to ensure compliance with coding and documentation guidelines and governmental requirements. Provides written reports to the supervisors with results of these audits.
· Maintains a working knowledge of required billing system, the registration process and charge entry.
· Proficient in accurately coding medical records utilizing ICD-9-CM and CPT.
· Receive and review patient charts and documents for accuracy
· Ability to use independent judgment and to manage and impart confidential information appropriately per HIPAA regulations and company requirements.