Medical Coder

Job Description

Job Description

We are looking for a detail-oriented Medical Coder to join our team. In this role, you will play a vital role in ensuring accurate and compliant coding for medical procedures and diagnoses. The ideal candidate will have a strong background in medical coding, with expertise in ICD-10 and CPT codes, and the ability to work across multiple specialties.

Responsibilities:

• Review medical records and assign appropriate ICD-10, CPT, and other relevant codes using 3M coding software for outpatient work types, including ancillary services, emergency department visits, same-day surgeries, and observation cases.

• Ensure that assigned codes align with documented reasons for visits and meet the required medical necessity guidelines.

• Apply charges for procedures such as Evaluation and Management (E& M) levels, injections, and infusions as needed, using third-party software systems.

• Abstract and validate required data in accordance with facility-specific guidelines and standards.

• Conduct medical necessity checks for Medicare and other payers based on established payment criteria.

• Collaborate with healthcare providers to clarify documentation and resolve coding discrepancies.

• Stay current with coding regulations, guidelines, and payer requirements to ensure compliance.

• Assist in quality assurance efforts to maintain high standards of coding accuracy and efficiency.

• Provide coding support across multiple specialties, including OBGYN, interventional cardiology, neurology, general surgery, and more.

• Minimum of 1 year of experience in profee medical coding.

• Proficiency in ICD-10 and CPT coding systems.

• Certification in medical coding (e.g., CPC, CCS, or equivalent) is required.

• Familiarity with 3M coding software and third-party systems for charge entry and validation.

• Strong knowledge of medical terminology and various specialties, including vascular, urology, anesthesiology, and wound care.

• Ability to perform medical necessity checks and ensure compliance with payer guidelines.

• Excellent attention to detail and organizational skills.

• Strong communication skills, with the ability to collaborate effectively with healthcare providers.