Use this Medical Coder job description template to promote your job openings and attract qualified candidates. Customize the job brief, responsibilities, requirements, and skills according to your specific needs.
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Job Brief
We are seeking a meticulous and experienced Medical Coder to join our healthcare team. The Medical Coder plays an essential role in the healthcare system by translating medical procedures and diagnoses into standardized codes. This ensures proper billing and compliance with regulations. The ideal candidate will possess strong analytical skills, attention to detail, and a thorough understanding of medical coding systems and regulations.
Responsibilities
- Code and abstract patient encounters, including diagnostic and procedural information, ensuring accuracy and completeness.
- Research and analyze data needs for accurate reimbursement and financial reporting.
- Review medical records to identify and address documentation deficiencies.
- Act as a subject matter expert and resource for other coding staff, providing guidance and support.
- Validate that documentation supports diagnoses, procedures, and treatment outcomes through detailed reviews.
- Conduct audits of clinical documentation and coded data to ensure compliance and accuracy for reimbursement purposes.
- Assign and sequence codes following regulatory guidelines and industry conventions.
- Address discrepancies and billing issues by recommending corrective actions and preventing future errors.
- Collaborate with the billing department and communicate with insurance companies to resolve coding errors and disputes.
- Prepare and submit statistical data for departmental analysis and assist with special projects as needed.
Requirements and Skills
- Minimum of 3-5 years of experience in medical coding, with a proven track record in a similar role.
- Certification in medical coding (e.g., CPC, CCS) preferred or required before hiring.
- Excellent typing and 10-key skills with high accuracy and speed.
- Strong mathematical skills and attention to detail.
- Proficient in ICD-10 coding, with familiarity with ICD-9 codes as a plus.
- Solid understanding of medical terminology, anatomy, and coding conventions.
- Experience with coding software and administrative information systems.
- Exceptional organizational and communication skills, both verbal and written.
- Ability to handle sensitive information with strict confidentiality.
- High school diploma or GED required; further education or specialized training in medical coding is advantageous.
Frequently Asked Questions
What does a Medical Coder do?
A Medical Coder reviews and analyzes patient medical records, assigns appropriate codes for diagnoses, procedures, and services, ensures accuracy and compliance with coding guidelines, and collaborates with healthcare providers to clarify information.
What should you look for in a Medical Coder resume?
When reviewing a Medical Coder resume, consider:
- Relevant Experience: Demonstrated experience in medical coding with specific roles and responsibilities that match the job requirements.
- Certifications: Relevant certifications such as Certified Professional Coder (CPC) or Certified Coding Specialist (CCS).
- Coding Skills: Proficiency in ICD-10 coding and familiarity with ICD-9 codes, along with knowledge of coding guidelines.
- Technical Proficiency: Experience with coding software and medical management systems.
- Attention to Detail: Evidence of accuracy in coding, documentation reviews, and auditing processes.