HIM Medical Records Certified Medical Coder - FT

Medical Coder

The Medical Coder complies with all legal requirements regarding coding procedures and practices. Conducts audits and coding reviews to ensure all documentation is accurate and precise, assign and sequence all codes for services rendered and collaborate with the business office to ensure all bills are satisfied in a timely manner. This position will also communicate with insurance companies about coding issues, submit statistical data for analysis and research by other departments and contact physicians and other health care professionals with questions concerning coding.

Essential Duties:

• Utilize specialized medical classification software to assign procedure and diagnosis codes for insurance billing.
• Review claims data to ensure that assigned codes meet required legal and insurance rules and that required signatures and authorizations are in place prior to submission.
• Conduct medical records research and correspond with insurance companies and healthcare professionals to resolve issues resulting from denied claims.
• Adhere to coding policies and procedures consistent with the industry standard guidelines for CPT, ICD-9 and ICD-10.
• Answer coding questions
• Review clinical documentation to ensure it meets level of CPT codes and ICD-10 codes
• Performs related duties, as requested.
• Upholds the Organization's ethics and customer service standards.