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Medical Coder: Translating Health Records into Codes
This is a detailed job description for a medical coder who assigns accurate diagnostic and procedure codes to patient records in various settings (ED, ASC, HAS, OBS, IP, etc.).
Responsibilities:
Review medical records and translate clinical information into medical codes (ICD-10, HCPCS/CPT).
Analyze and maintain accuracy of coding systems.
Use electronic health records (Epic) to access patient data.
Identify principal diagnoses and procedures for proper reimbursement.
Research coding issues and stay updated on regulations.
Maintain confidentiality and work effectively with staff.
Qualifications:
Minimum 2 years of experience in medical coding
Associates Degree
RHIT, RHIA or CCS Certified
Experience with EMR systems and medical terminology.
Strong analytical and communication skills.
Ability to work independently and meet deadlines.
You'll ensure accurate coding of patient records for proper reimbursement and healthcare delivery.