Medical Records Coder

ESSENTIAL FUNCTIONS:

• Assign appropriate codes using International Classification of Disease system (ICD-10) and/or Current Procedural Terminology (CPT) for diagnosis, procedures and services.
• Responsible for correctly coding claims based on the services a patient receives in order to obtain reimbursement from insurance or government healthcare programs.
• Read and analyze patient records extracting precise information from documentation, test results and reports.
• Request diagnosis from physicians when not recorded on discharge and in cases where information is incomplete.
• Maintain confidentiality regarding patient care information and chart contents.
• Inform administrator of any incongruences noted in the chart record.
• When appropriate clarify diagnosis, conditions and treatment information by working with the physician according to company policy and procedure.
• Process physician reports needed to code appropriately and accurately.

OTHER FUNCTIONS:

• Perform other functions and tasks as assigned.

EDUCATION/EXPERIENCE/SKILL REQUIREMENTS:

• High school diploma or equivalent required.
• Certificate or associate degree in medical coding or related field preferred.
• Two or more years of medical billing/collections/coding preferred.
• Strong knowledge of anatomy, physiology and medical terminology required.

LICENSES/DESIGNATIONS/CERTIFICATIONS:

• Medical Coding Certificate preferred.