Medical Coder Professional - Surgical Coder
Core
Review outpatient medical records to assign appropriate ICD-10, CPT, and HCPCS codes, ensuring compliance with regulations and payer policies to facilitate correct reimbursement.
Role type
Medical Coder (Surgical/Outpatient)
Builds
Accurate medical coding for insurance claims and billing processes
Domain
Healthcare / Medical Billing
Required skills
ICD-10 coding, CPT coding, HCPCS coding, medical record review, claims preparation, regulatory compliance, EHR systems proficiency
Preferred skills
Trauma coding, orthopedic coding, cardiothoracic coding, wound care coding, urology coding, plastic surgery coding
Responsibilities
Review outpatient medical records to assign appropriate ICD-10, CPT, and HCPCS codes. Ensure coding accuracy and compliance with regulations, payer policies, and guidelines. Work with billing teams to prepare and submit claims, resolving any coding-related denials. Collaborate with healthcare providers to clarify documentation and ensure proper code assignment. Stay current on coding updates and payer requirements.