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Title
Text copied to clipboard!Medical Coder
Description
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We are looking for a meticulous and detail-oriented Medical Coder to join our healthcare team. The ideal candidate will have a strong understanding of medical terminology, anatomy, and physiology, as well as proficiency in coding systems such as ICD-10, CPT, and HCPCS. As a Medical Coder, you will be responsible for accurately translating medical records into standardized codes that are used for billing, insurance, and statistical purposes. Your role is crucial in ensuring that healthcare providers are reimbursed correctly and that patient records are maintained with the highest level of accuracy. You will work closely with healthcare professionals, including doctors, nurses, and administrative staff, to ensure that all medical documentation is coded correctly and in compliance with regulatory standards. The position requires a high level of integrity, as you will be handling sensitive patient information. Additionally, you should be comfortable working with various software applications and electronic health records (EHR) systems. The ability to stay updated with the latest coding guidelines and industry changes is essential. If you have a keen eye for detail, excellent analytical skills, and a passion for the healthcare industry, we encourage you to apply for this rewarding position.
Responsibilities
Text copied to clipboard!- Translate medical records into standardized codes using ICD-10, CPT, and HCPCS.
- Ensure accuracy and completeness of medical coding for billing and insurance purposes.
- Review and analyze patient records to identify relevant diagnoses and procedures.
- Collaborate with healthcare providers to clarify any ambiguous or incomplete documentation.
- Maintain up-to-date knowledge of coding guidelines and industry regulations.
- Assist in the preparation of reports and data analysis for healthcare management.
- Ensure compliance with HIPAA and other regulatory requirements.
- Participate in coding audits and quality assurance activities.
- Provide training and support to other staff members on coding practices.
- Resolve coding discrepancies and issues in a timely manner.
- Utilize electronic health records (EHR) systems for coding and documentation.
- Communicate effectively with insurance companies and other third-party payers.
- Stay informed about changes in medical coding standards and practices.
- Assist in the development and implementation of coding policies and procedures.
- Ensure that all coded data is accurate and complete for statistical reporting.
- Work with billing staff to ensure proper submission of claims.
- Identify and report any patterns or trends in coding errors.
- Participate in continuing education and professional development opportunities.
- Maintain confidentiality and security of patient information at all times.
- Perform other related duties as assigned.
Requirements
Text copied to clipboard!- Certification as a Certified Professional Coder (CPC) or equivalent.
- Proficiency in ICD-10, CPT, and HCPCS coding systems.
- Strong understanding of medical terminology, anatomy, and physiology.
- Experience with electronic health records (EHR) systems.
- Excellent attention to detail and accuracy.
- Strong analytical and problem-solving skills.
- Ability to work independently and as part of a team.
- Good communication and interpersonal skills.
- Knowledge of HIPAA and other regulatory requirements.
- Ability to handle sensitive and confidential information.
- Proficiency in Microsoft Office Suite (Word, Excel, Outlook).
- Strong organizational and time management skills.
- Ability to stay updated with industry changes and coding guidelines.
- Experience in a healthcare setting is preferred.
- Ability to work under pressure and meet deadlines.
- Strong ethical standards and integrity.
- Ability to interpret and apply complex coding guidelines.
- Experience with coding audits and quality assurance.
- Ability to provide training and support to other staff members.
- Commitment to continuing education and professional development.
Potential interview questions
Text copied to clipboard!- Can you describe your experience with ICD-10, CPT, and HCPCS coding systems?
- How do you ensure accuracy and completeness in your coding work?
- Can you provide an example of a time when you resolved a coding discrepancy?
- How do you stay updated with the latest coding guidelines and industry changes?
- What strategies do you use to handle sensitive and confidential patient information?
- Can you describe your experience with electronic health records (EHR) systems?
- How do you handle ambiguous or incomplete medical documentation?
- What steps do you take to ensure compliance with HIPAA and other regulatory requirements?
- Can you describe a time when you participated in a coding audit or quality assurance activity?
- How do you prioritize your tasks and manage your time effectively?