Job Description

Code Patient Records:

Review and assign appropriate ICD-10 and CPT codes to diagnoses, procedures, and services documented in patient medical records.

Ensure Accuracy and Compliance:

Ensure accurate coding in compliance with federal regulations, insurance policies, and medical center guidelines to support billing and reimbursement processes.

Medical Record Review:

Review medical records to confirm the completeness, accuracy, and consistency of patient information and coding details.

Collaboration with Medical Staff:

Work closely with physicians, nurses, and other healthcare professionals to clarify any discrepancies or missing information in patient records.

Billing Support:

Collaborate with the billing department to ensure timely and accurate submission of claims to insurance providers, ensuring proper reimbursement.

Maintain Coding Standards:

Stay updated with changes in coding guidelines, regulatory requirements, and industry standards, including ICD-10 and CPT updates.

Data Entry:

Accurately input codes into the electronic Medical record (EMR) or coding software, ensuring that all codes are assigned correctly and promptly.

Audit and Quality Assurance:

Participate in regular audits of coding to ensure accuracy and compliance, and address any errors or issues identified.

Documentation:

Ensure that all coding activities are properly documented, including the reasons for any coding decisions, in accordance with privacy and compliance guidelines.

Confidentiality:

Maintain patient confidentiality and adhere to DOH guidelines to protect patient privacy.

Education:

Bachelor's, diploma or equivalent required; completion of a formal Medical Coding training program or certification is preferred.

Certifications:

Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) preferred.

Experience:

Minimum of 1 year of experience in medical coding, preferably in a hospital or healthcare setting is an advantage

Knowledge:

Strong knowledge of ICD-10, CPT, coding, and medical terminology.

Communication Skills:

Strong written and verbal communication skills for interacting with medical staff, patients, and insurance providers.

Organizational Skills:

Ability to manage multiple tasks simultaneously and work efficiently in a fast-paced environment.
Job Type: Full-time