Medical Coder

JOB SUMMARY :


ESSENTIAL DUTIES AND RESPONSIBILITIES include the following: The Medical Coder is responsible for accurately assigning CPT, ICD-10, and HCPCS codes to patient encounters to ensure proper billing and compliance with regulatory requirements. This role supports revenue cycle efficiency by ensuring claims are coded correctly, reducing denials, and assisting providers with documentation improvement.

Other duties may be assigned.

FINANCIAL OPERATIONS & REPORTING

• Review medical documentation for accuracy and completeness.
• Assign appropriate CPT, ICD-10, and HCPCS codes according to established guidelines.
• Ensure coding compliance with federal, state, and payer-specific requirements.
• Collaborate with physicians and clinical staff to clarify diagnoses and procedures when necessary.
• Work with billing team to resolve coding-related claim rejections or denials.
• Maintain up-to-date knowledge of coding regulations, payer requirements, and ophthalmology-specific coding changes.
• Assist with audits and provide feedback to improve documentation and compliance.
• Support process improvements to strengthen revenue cycle performance.