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Medical Coder Job Description: Top Duties and Qualifications

A Medical Coder, or Certified Professional Coder, is answerable for reviewing a patient’s medical records after a visit and translating the data into codes that insurers use to process claims from patients. Their duties include confirming treatments with medical staff, identifying missing information and submitting forms to insurers for reimbursement.

Medical Coder duties and responsibilities

The duties and responsibilities of a Medical Coder vary from one medical building to a different. the most duty of a Medical Coder is assigning codes to medical procedures and diagnoses. Other duties and responsibilities of a Medical Coder include:

• Making sure that codes are assigned correctly and sequenced appropriately as per government and insurance regulations

• Complying with medical coding guidelines and policies

• Receiving and reviewing patients’ charts and documents for verification and accuracy

• Following up and clarifying any information that's not clear to other staff members

• Collecting information made by the Physician from different sources to organize monthly reports

• Implementing strategic procedures and selecting strategies and evaluation methods that provide correct results

• Examining any medical malpractice that has been reported by analyzing and identifying the medical procedures, diagnoses or events that cause the negligence

Medical Coder verbal description Examples

Example 1

At Chai Care LLC, we depend on powerfully insightful data to make sure the delivery of our excellent healthcare services. We’re seeking an experienced medical coding professional to deliver that insight to us on a routine. The Coder position is chargeable for assigning appropriate CPT and ICD-10 codes to inpatient and outpatient hospital services, together with services rendered in skilled nursing facilities, free standing clinics and other places of service by wound care providers. the perfect candidate possesses excellent interpersonal skills so as to speak effectively with providers and other staff members regarding coding requirements. this can be an on-site position at our headquarters in Brooklyn.

All employees must perform their job responsibilities in step with all corporate policies, Hospital policies, further on accrediting organizations, federal and state regulation, and to the Centers for Medicare and Medicaid Services (CMS) guidelines, as applicable.

Essential Functions/Responsibilities:

• Assign appropriate ICD10/CPT codes to patient visit supported the legal medical history

• Translate healthcare providers’ diagnostic and procedural phrases into coded form

• Obtain necessary clarification of knowledge on the notes and charts from provider

• Identify missing or incomplete medical records

• Review claim edits/errors within the billing system to confirm accuracy of coding and billing requirements

• Collaborate with manager within the development and improvement of labor flow processes, for optimum output/efficiency

• Review, research and answer provider and operating management inquiries about the coding of visits

• Promote an environment of open communication, team work and staff input within the decision-making process

• · Participate in completion of special projects as assigned by management

• · Generate Excel spreadsheets for special projects as assigned

• · Perform other duties PRN

Required Education, Experience and Credentials:

• · highschool graduate or equivalent, required

• · Associates degree through accredited college, preferred; or

• · Equivalent combination of education and relevant experience

• · One to a few years of coding experience required

• · Completion of yankee Health Information Management (AHIMA) or American Academy of Professional Coders (AAPC) accredited coding educational program

• · Certified Professional Coder (CPC) certification from AAPC, preferred

• · Proficient in data entry/10 key, proficient with practice management software

Hours: Monday-Friday 9a-5p

Salary: $58,000- $65,000

Job Type: Full-time

Pay: $58,000.00 - $65,000.00 per annum

Benefits:

• insurance

• Paid day off

Schedule:

• 8 hour shift

• Monday to Friday

Ability to commute/relocate:

• Brooklyn, NY: Reliably commute or reaching to relocate before starting work (Required)

Experience:

• ICD-10: 3 years (Preferred)

• Medical coding: 3 years Location: One location

What does a Medical Coder do?

Medical Coders work on hospitals, clinics and other healthcare settings to facilitate communication with insurance companies. They spend most of their time interpreting patient files and manually updating them with medical codes. When assigning a code to a patient’s file, Medical Coders use established systems that make it easy for insurers to acknowledge what types of treatment they cover under a patient’s plan. Medical Coders also gather documentation to validate their coding choices and argue against any wrongfully denied claims. They analyze all parts of a patient’s visit, including diagnostic tests, consultations, in-office procedures and prescribed medication.

Medical Coder skills and qualifications

A Medical Coder works in healthcare facilities and is accountable for converting diagnosing, equipment and processes into standardized codes that are used when filing insurance claims. the abilities and qualifications that a Medical Coder needs so as to realize this include:

• A strong understanding of physiology, medical terms and anatomy
• Proficiency in computer skills including typing speed and accuracy
• Mathematics skills
• Excellent written and verbal communication skills
• Organizational skills
• Ability to take care of a high level of integrity and confidentiality of medical information
• Strict attention to details
• Knowledge of information entry and transcription

Medical Coder salary expectations

A Medical Coder makes a median of $22.10 per hour. However, this rate of pay can vary counting on a candidate’s education and level of experience.

Medical Coder education and training requirements

A Medical Coder should have the tutorial qualifications and training necessary to try to to the duty. Although the tutorial requirements vary from one employer to the opposite, most medical facilities prefer a Medical Coder with a master’s degree or a minimum of a bachelor’s degree. However, most entry jobs require the successful completion of a certification program or a bachelor’s degree. Relevant concentrations for certificates, bachelor’s degrees and master’s degrees include medical billing and coding, healthcare administration, health information management or a related field of study.

Medical Coder experience requirements

A proficient Medical Coder should have experiences with medical coding guidelines and procedures like ICD-9, CPT, ARG and ASA, among several others. Experience in other clinical services search as program management and health records is another advantage. Medical Coders should have a minimum of 2 years of experience within the medical field, either through work or volunteer roles.

Job descriptions samples for similar positions

In case the duty description provided doesn't match the necessities of your company, below are other job descriptions that may fit your company’s needs.

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