The E&M Coder reviews, analyzes, and codes medical record documentation, including medical, diagnostic, and procedural information, using the most specific applicable ICD-10, CPT, and/or HCPCS codes. The role accurately and completely abstracts demographic and coding information into the information system, reviews documentation for medical necessity, and audits orders and claims before submission to ensure accuracy and minimize claim denials. The position assesses records and prepares reports, provides technical guidance to physicians and other departmental staff to identify and resolve issues or errors, and develops effective working relationships with physicians and other stakeholders. Primary coding responsibility is Evaluation and Management (E/M) leveling, along with additional ancillary services performed in an office setting.
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Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED