Outpatient Medical Coder -Translating Health Records into Codes

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.