Medical Records Coder-Associate

About this role

• Under direct supervision, responsible for conducting review of inpatient and outpatient coding, assuring coding compliance with federal regulations, and maintains up-to-date coding guidelines and coding policy changes.
• Performs all tasks required to facilitate medical billing to include abstracting complex patient related data from medical records and coding of diagnoses and procedures using the ICD-10 and CPT classification systems.
• * Reviews, interprets, and assigns diagnostic and procedural codes based upon medical record documentation according to correct coding principles.
• * Provides technical work in documentation and coding for medical billing, abstracts patient-related data from medical records and coding of diagnoses and procedures using ICD-10 and CPT codes.
• * Works coding related charge review and claim edits daily to ensure timely and accurate billing.
• * Obtains medical records and charge fee information from patient care area.
• * Contacts other facilities to obtain medical records and information needed to bill for services rendered.
• * Verifies charge capture and physician notes for completeness to include abstracting and entering relevant medical information from the medical records; checks for required signatures; ensures proper documentation guidelines are followed.
• * Codes diagnosis and procedures using classification coding systems.
• * Reviews charge documents for completeness.
• * Performs all other duties as assigned.
• * Proficiency in ICD-10 and CPT coding.
• * Basic understanding of medical terminology, anatomy and physiology.
• * Meticulous attention to detail and accuracy.
• * A solid customer service acumen and interpersonal skills to effectively work with both internal and external customers and responds to requests in a timely and respectful manner.
• * Strong verbal, written and interpersonal communication skills.
• Education * Highschool diploma or GED is required.
• Licenses and Certifications * License and Certifications * CBCS Certified Billing and Coding Specialist (National Healthcareer Association) * RHIT Registered Health Information Technician (AAPC) * RHIA Registered Health Information Administrator (AAPC) * CCS Certified Coding Specialist (AAPC) * CPC Certified Professional Coder (AAPC)

Key skills & tools

View & apply

Links open in a new tab. jobhustl never applies on your behalf - you always go to the employer.