JOB TITLE: Medical Coder
GENERAL SUMMARY OF DUTIES: Responsible for accurate coding
SUPERVISION REQUIRED: Coding Manager
SUPERVISION EXERCISED: None
- Responsible for the correct assignment of medical codes for maximum reimbursement.
- Ensures that all health records are properly diagnosed according to the ordered procedure.
- Responsible for ensuring the accurate and timely transcription of patient health information to make it accessible to authorized parties.
- Ensures that medical necessity is documented in patient records.
- Provides information to physicians on patients being treated by them as requested.
- Reviews medical records for compliance with state, federal and private insurance guidelines.
- Responsible for correcting claims that are returned for coding-related reasons.
KNOWLEDGE, SKILLS & ABILITIES:
Knowledge of: health information management and HIPAA standards; medical/disease coding principles; legal aspects/confidentiality; accreditation standards, Medicare, Medicaid, state and federal regulations governing health information/medical records; disease processes and medical procedures; collection and interpretation of administrative and clinical statistics. Ability to: work independently, accurately and effectively; advise the facility administrator on patient health information; develop standards, policies, and procedures governing HIPAA and the health information department; utilize the computer to accomplish medical record services; work effectively with personnel at all levels. Skilled in: planning, prioritizing and organizing work assignments and department functions; keeping updated on medical record documentation practices and licensure requirements.
EDUCATION REQUIREMENTS: PREFERRED Certification through AAPC or CCA and at least one year of medical coding experience.
Office setting. Frequent telephone calls and other interruptions, which requires being able to handle a fast-paced work environment during entire time at work. Must be able to prioritize multiple projects. Must maintain strict confidentiality and exercise professionalism when interacting with staff, managers, supervisors, physicians, external customers, etc.
Requires continuous standing, sitting, frequent walking, bending, and stooping. May require lifting 50 to 100 pounds. Exposure to possible Hazardous Materials/conditions and infectious diseases.