Coder Senior - Professional Coding and Auditing experienced (Eastern United States resident)
Core
Transform verbal descriptions of diseases, injuries, and procedures into numeric or alphanumeric designations for healthcare claims submission.
Role type
Senior Health Information Coder
Builds
Coded medical records and claim submissions for reimbursement
Domain
Healthcare / Medical Coding
Deliverable
production ML models | product features | dashboards & analysis | research | client delivery | infrastructure | physical/clinical work
Required skills
Medical terminology, ICD-10/CPT coding guidelines, Encoder software, DRG assignment, medical record review, physician query, coding quality audit, policy development
Preferred skills
Training coders on guidelines and practices
Technologies
Encoder software
Responsibilities
Review medical records to identify principal and secondary diagnoses and procedures; Translate diagnostic and procedural phrases into coded form; Determine code sequencing to maximize reimbursement; Assign appropriate DRG; Query physicians to clarify documentation; Complete coding quality audit reviews; Develop coding policy and procedure papers for new technologies.
Seniority
Senior, hands-on IC