Medical Coder

Key Responsibilities

• Analyze patients’ records (like doctor’s notes, test results, and treatments) and record all the important information accurately before heading towards the coding process.
• Reviewing patient records and documentation carefully to identify any missing information, and ensure to communicate with doctors or healthcare staff to clarify if any.
• Convert patient medical information into standardized codes such as ICD-10, CPT, and OPCS, ensuring accuracy to maintain the billing, insurance, and medical records.
• Train other healthcare professionals on how to document a procedure properly so it can be coded correctly and comply with clinical coding guidelines.
• Regularly checking patient medical charts to make sure all information, diagnoses, and procedures are accurately recorded and coded.
• Report to the supervisor about any issues or malfunctions with medical equipment and computer programs for uninterrupted workflow and patient care.
• Assigning the correct codes to all patient services and arranging them in the proper sequence for accurate billing and record-keeping.

Requirements

• A degree in health information technology, medical coding, or a related field.
• 2+ years of work experience as a medical coder.
• Extensive knowledge of medical terminology and clinical coding standards.
• Proficiency in organizational and computer skills.
• Excellent attention to detail, good communication skills, both verbal and written.
• Practical experience using electronic systems to manage records and insurance claims.