Medical Coder

Role & responsibilities

• Medical Coding: Accurately review patient charts, medical records, and other documentation to

assign appropriate codes for diagnoses, procedures, and services using ICD-10, CPT, and HCPCS

coding systems.

• Billing Accuracy: Ensure that codes are applied correctly for insurance claims and billing

purposes, reducing the risk of claim denials or payment delays.

• Documentation Review: Collaborate with physicians and healthcare providers to clarify any

unclear or incomplete documentation to ensure accurate coding and compliance with

regulations.

• Compliance & Regulations: Stay current on federal, state, and payer-specific coding

requirements and ensure compliance with all regulatory bodies, including HIPAA and CMS

standards.

• Claim Submission Support: Assist with submitting accurate claims to insurance companies,

following up on denied or rejected claims, and resolving any issues related to billing or coding

discrepancies.

• Data Integrity: Maintain accurate records and coding logs for auditing and reporting purposes,

ensuring that all coding practices meet the organizations standards.

• Continuous Education: Participate in ongoing professional development and training to maintain

certification and stay updated on the latest changes in coding practices and healthcare

regulations.

• Collaboration: Work closely with billing, insurance, and clinical teams to address any issues and

ensure smooth claim processing and reimbursement cycles.

Preferred candidate profile

• Additional certifications such as Certified Inpatient Coder (CIC), Certified Outpatient Coder

(COC), or Certified Coding Associate (CCA).

• Experience in a specific medical field (e.g., oncology, cardiology, or radiology) is a plus.
• Knowledge of coding compliance audits and experience with billing and insurance claims

management.