Medical Coder

Job Summary:

The SNF Medical Coder ensures accurate coding for skilled nursing services to optimize reimbursement while maintaining compliance with CMS regulations.

Key Responsibilities:

• Assign and review ICD-10, CPT, and HCPCS codes for SNF services.
• Ensure accurate coding under PDPM reimbursement guidelines.
• Validate therapy minutes and physician documentation for proper coding.
• Review MDS assessments to ensure billing accuracy.
• Work closely with the billing team to resolve coding-related denials.
• Stay updated on Medicare PDPM and state Medicaid coding changes.
• Strong understanding of PDPM, RUG-IV, and Medicaid case-mix.
• Experience with SNF electronic medical record (EMR) systems.