Role Summary

A Medical Coder, also known as a Certified Professional Coder, reviews patient medical records after visits and translates clinical information into codes used by insurers to process claims. The role includes confirming treatments with medical staff, identifying missing information, and submitting documentation for reimbursement.

Responsibilities

Assign codes to medical procedures and diagnoses
Ensure codes are assigned correctly and sequenced according to government and insurance regulations
Follow medical coding guidelines and policies
Review patient charts and documents for verification and accuracy
Clarify unclear information with other staff members
Gather physician information from multiple sources to prepare monthly reports
Use strategic procedures and evaluation methods to produce accurate results
Review reported medical malpractice cases by analyzing procedures, diagnoses, or events that may have led to negligence

Requirements

High school diploma or equivalent

Medical Coding Certificate

RHIT or CPC certification through AAPC or AHIMA, with state licensure requirements met

1 year of medical coding experience

Knowledge of medical terminology, anatomy, and physiology

Ability to work independently or as part of a team

Strong computer skills, including data entry, coding, Electronic Medical Record software, and Microsoft Office Suite

Strong attention to detail and accuracy

Ability to multitask, prioritize, and manage time effectively

Excellent verbal and written communication skills

Organized, goal-oriented team player