Medical Coder

About the role

The organization operates within healthcare services, focusing on medical coding and billing processes. It addresses challenges related to accurate and ethical coding of medical services, ensuring compliance with established coding standards and payer guidelines. This role supports healthcare providers by translating medical documentation into billable codes, facilitating proper reimbursement and documentation integrity.

The Medical Coder is responsible for accurately abstracting and coding provider services from medical documentation following recognized coding ethics and payer guidelines. This position ensures proper posting and reconciliation of charges, communicates documentation and coding issues, and supports appeals for coding denials. The role contributes to maintaining coding accuracy, compliance, and effective revenue cycle management.

Responsibilities

• Abstract provider services into billable codes (CPT, HCPCS, ICD-10) according to coding ethics and payer guidelines.
• Post and reconcile hospital setting charges daily.
• Report issues such as medical necessity, unspecified or incomplete documentation, and coding trends to the coding supervisor.
• Utilize coding and payer resources to ensure accurate coding and billing.
• Assist with complicated coding denials and support the creation of appeal letters.
• Engage in continuing education through provided coding and billing resources.
• Perform other duties as assigned.

Requirements

• Experience coding (CPT, HCPCS, ICD-10) services following AAPC, AHIMA, and NAMAS ethics.
• Effective verbal and written communication skills in English; additional languages are a plus.
• Strong customer service and phone etiquette skills.
• Ability to maintain confidentiality and meet productivity standards.
• Skills in prioritizing workloads to meet short- and long-term needs.
• Ability to work independently and solve problems accurately.
• Capability to establish communication channels to obtain necessary information.
• Strong organizational skills managing high-volume tasks.
• Positive teamwork attitude and willingness to assist others.
• High School Diploma or equivalent.
• Minimum 2 years of experience in medical billing and/or coding.
• Medical Billing and Coding certifications are highly desirable.