Role: Medical Coder
Job Summary
We are seeking a detail-oriented Medical Coder to review patient medical records and assign accurate diagnosis and procedure codes in accordance with ICD-10-CM, CPT, and HCPCS guidelines. The role supports compliance with regulatory standards and ensures accurate reimbursement within the Revenue Cycle Management (RCM) process.
Key Responsibilities
- Review and analyze patient medical records, physician notes, and clinical documentation.
- Assign accurate ICD-10-CM, CPT, and HCPCS codes based on established coding guidelines.
- Ensure coding accuracy and compliance with payer, client, and regulatory requirements.
- Meet established productivity and quality benchmarks.
- Identify documentation gaps and initiate provider queries when necessary.
- Support denial analysis and provide coding-related clarification to revenue cycle teams.
- Stay updated on coding regulations, payer policies, and industry changes.
- Participate in internal audits and quality assurance initiatives.
Qualifications
- Active CPC, CCS, or equivalent coding certification preferred.
- Graduate of a Medical Allied course (e.g., Nursing, Medical Technology, Pharmacy, Physical Therapy) is an advantage.
- At least 1–3 years of medical coding experience (level dependent).
- Strong understanding of Revenue Cycle Management processes.
- Familiarity with EMR/EHR systems and coding platforms.
- Strong analytical skills with high attention to detail.
- Ability to work in a fast-paced, performance-driven environment.
Preferred Experience
- Experience supporting US healthcare accounts (payer or provider).
- Exposure to inpatient, outpatient, emergency department, or specialty coding.
- Background in denial management or audit support is a plus.
