The Medical Coder-Professional reviews and codes medical records and documentation for healthcare services rendered. The role ensures diagnoses, procedures, and services are accurately coded using ICD-10, CPT, and HCPCS, and that coding complies with insurance requirements, governmental regulations, payer policies, and industry standards. Accurate coding supports correct reimbursement and billing. The position reviews outpatient medical records, works with billing teams to prepare and submit claims and resolve coding-related denials, and collaborates with healthcare providers to clarify documentation. The coder also keeps current with coding updates and payer requirements, communicates with hospital coding staff and management by telephone and email, and uses required software effectively.
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Job Type
Full-time
Education Level
High school or GED