Medical Coder Non-Certified

Responsibilities

• Accurately code surgical procedures and diagnoses using ICD-10-CM, CPT, and HCPCS coding systems to ensure proper billing and reimbursement.
• Review and interpret clinical documentation to ensure appropriate code selection and compliance with regulatory standards.
• Collaborate with pathologists and medical staff for clarification and completeness of coding information.
• Maintain up-to-date knowledge of coding guidelines, regulations, and industry best practices through ongoing education and training.
• Audit and review patient records for accuracy and compliance with coding and billing requirements.
• Ensure prompt and accurate submission of coded surgical data for billing and reimbursement purposes.
• Handle confidential patient information with the utmost discretion and integrity, following all HIPAA guidelines.
• Handle prior authorizations for high-level Molecular Testing, ensuring all necessary documentation and approvals are obtained.
• Register patients to enable billing for M-Lab clients and external consultants.
• Respond promptly and professionally to internal and external inquiries via email and phone.
• Provide clear written communication and problem-solving support to customers and stakeholders.
• Perform additional job-related tasks as needed to support departmental operations.

Required Qualifications

• Graduation from high school or equivalent combination of education and experience.
• Extensive knowledge of ICD-10-CM, CPT, and HCPCS coding systems.
• Minimum of 5 years of experience in medical coding, billing, and patient registration.
• Minimum of 2 years of experience handling prior authorizations.
• Strong understanding of medical terminology, anatomy, and surgical procedures.
• Excellent attention to detail and problem-solving skills.
• Proficient in using electronic health records (EHR) and coding software systems.
• Strong communication skills and ability to work collaboratively with healthcare professionals.
• Commitment to maintaining patient confidentiality and data security.
• Solid knowledge of medical terminology, anatomy and physiology, treatment methods, patient care assessment, data collection techniques, and coding classification systems.

Desired Qualifications

• CPC (Certified Professional Coder) or RHIT (Registered Health Information Technician) certification.
• Previous experience in pathology coding.
• Familiarity with MiChart (Epic) electronic health record system.
• Proficiency in Microsoft Excel.