Medical Coder job description

What is a Medical Coder?

A Medical Coder is a healthcare professional who specializes in reviewing clinical documentation and assigning standardized codes to medical diagnoses and procedures. These codes are used for billing, insurance claims, and maintaining patient records. Medical Coders must be proficient in coding systems such as ICD-10, CPT, and HCPCS, and they play a critical role in ensuring that healthcare providers are reimbursed accurately and efficiently. Their work supports compliance with federal regulations and helps organizations avoid legal issues related to improper billing.

What does a Medical Coder do?

Medical Coders analyze patient medical records, including physician notes, lab results, and other documentation, to identify relevant diagnoses and procedures. They assign appropriate codes using standardized classification systems, such as ICD-10 for diagnoses and CPT for procedures. Additionally, they verify the accuracy of coded data, resolve discrepancies, and ensure compliance with coding guidelines and insurance requirements. Medical Coders also collaborate with healthcare providers to clarify documentation and submit clean claims to insurance companies, reducing the risk of denials and delays in reimbursement.

Job Overview

We are seeking a detail-oriented and certified Medical Coder to join our healthcare team. The ideal candidate will be responsible for reviewing medical records and assigning appropriate diagnostic and procedural codes using ICD-10-CM, CPT, and HCPCS Level II classification systems. This position requires strong analytical skills, extensive knowledge of medical terminology, and adherence to coding guidelines to ensure accurate reimbursement and compliance with federal regulations.

Medical Coder responsibilities include:

Must-Have Requirements

Preferred Qualifications

Bonus Skills