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.
Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant.
However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information.
41 CFR 60-1.
35(c)