Health Information Management- Coder
Core
Outpatient coding specialist reviews medical records to abstract data and assign ICD-10 and CPT codes for diagnoses and procedures.
Role type
Outpatient medical coder
Builds
Coded medical records for billing and compliance
Domain
Healthcare / Medical Coding
Required skills
ICD-10-CM/PCS, CPT coding, encoder software, medical terminology, anatomy and physiology, disease processes, surgical techniques, E/M guidelines, payer-specific coding policies
Preferred skills
Certified Professional Coder in multiple specialties
Technologies
Encoder software, Outlook, Microsoft Office
Responsibilities
Accurately assigns and sequences diagnosis and procedure codes while ensuring compliance with coding guidelines; Reviews and interprets the entire electronic patient health information account to determine appropriate ICD-10 CM/PCS and CPT codes; Abstracts and enters all coded/abstracted information into the electronic medical record system; Ensures efficient management of unbilled coding reports to ensure cash flow; Keeps informed of changes/updates to ICD-10 CM/PCS and CPT guidelines by attending appropriate training and implementing these updates in daily coding assignments.
Seniority
Entry-level to Mid-level, hands-on IC