Medical Coder - Job Description, Duties, Education, Skills, Salary, & Growth

Medical Coder

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Job Description

 

Medical coders are responsible for reviewing medical records and assigning these codes as indicated. This ensures that the health care providers they work for are properly paid for these services rendered.

Coding all of this information correctly is not easy. It requires the coder to carefully read the doctor’s and nurse’s notes to determine precisely which services the patient received.

The coder is required to understand private payer insurance policies as well as government regulations for accurate billing and coding.

Whenever you visit your doctor, his or her office personnel will bill your medical insurance provider with a statement that contains CPT codes. CPT stands for Current Procedural Terminology, and is used to describe your office visit and provide a diagnosis code of the condition that was treated.

Whether you get blood tests taken or an X-ray performed, all of these services will be represented by CPT codes on your bill.

There is a CPT code for every type of health care service provided by health care facilities and practitioners, amounting to almost 10,000 different variations.

There are another 14,000 codes for medical diagnoses. These are international classification of diseases, Ninth Revision, Clinical Modification (ICD-9-CM) codes.

In addition, there are Healthcare Common Procedure Coding System (HCPCS) Level II codes specific to medical supplies and services.

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Responsibilities

 

Codes are constantly changing, requiring coders to keep up-to-date on the latest rules and interpretations.

Coders are required to have more than a casual understanding of medical terminology and anatomical terms. Many employers require all their coders to hold certification as a requisite of employment.

Responsibilities common to medical coders include:

  • Translating medical procedures into the proper codes.

  • Verifying patient insurance coverage.

  • Managing collections and unpaid accounts through making payment arrangements and following up with patients.

  • Creating and managing the organization or facility's Account Receivable reports.

  • Working directly with insurance companies, patients, and providers to process claims.

  • Contacting collections agencies and determining legal options in the event of non-payment.

  • Coordinating with insurance companies in the event of payment discrepancies.

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Skills

 

A medical coder must be extraordinarily detail-oriented. The coder is required to review the patient’s chart closely to determine the diagnosis and to carefully itemize every service that was provided.

Any overlooked services will not be paid to the provider, resulting in lost revenue. Should the coder input an inaccurate code, his or her employer may have to refund any over payments or face legal charges for inaccuracies in billing practices.

It is estimated that incomplete or inaccurate coding costs the average health care provider several thousand dollars a year in missed payments.

Providers run the risk of losing large amounts of revenue without competent coders.

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Working Conditions

 

Just about every type of health care facility will have medical coders working for them. This includes doctor’s offices, hospitals, health care systems and surgery centers.

Experienced coders may have the opportunity to work at home as a contract worker or through an employer that approves of telecommuting for certain employees.

 

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Salary Outlook

Title Company Location Posted
09.22.2017
Experienced coder with one to three years experience in healthcare operations and coding certificate. Requires extensive knowledge of medical terminology, anatomy, physiology, pathophysiology, and ICD-9-CM codes.
09.22.2017
Purpose and Scope: Utilize ICD-10CM & CPT-4 to code inpatient and outpatient Medical Records Virginia Hospital Center is an independent and progressive 342-bed not-for-profit teaching hospital in Arlington, VA. Part of the Mayo Clinic...
09.22.2017
VCU Health System's Business Office - Coding Svcs-Proce is seeking a full time Medical Coder I to support Anesthesia service coding/billing Process. This person translates provider documentation and/or reports and makes the determination as to...
09.22.2017
VCU Health System's Business Office_Coding Svcs-Proce is seeking a full time Medical Coder II. This person translates authenticated provider documentation and/or reports and makes the determination as to the appropriate CPT, ICD-9/10 codes for...
09.22.2017
We have one part-time opening in our Health Information Management Department for a Coder. Days and hours will vary.Qualified candidates must have a High School Diploma or GED equivalent.Previous experience in ICD-9-CM coding, DRGs and CPT coding...
09.22.2017
VCU Health System's Business Office - Coding Svcs-Proce is seeking a full time Medical Coder III to support the Division of Plastic Surgery. This person translates provider documentation and/or reports and makes the determination as to the...
08.10.2017
Under the general direction of the Coding Manager, this position reviews the medical record to verify diagnosis and procedures and Present on Admission Indicators. The Coder abstracts the information by using the appropriate coding classification...
09.22.2017
Certified Professional Coder or RHIT with at least one year previous outpatient coding experience with ICD-9-CM and CPT coding schemes including evaluation and management codes and experience with insurance carriers. (B306)
09.22.2017
Universal Health Services, Inc. (UHS), is one of the nation's largest and most respected health care management companies, operating through its subsidiaries acute care hospitals, behavioral health facilities and ambulatory centers nationwide....
09.22.2017
The ED Coder exists to provide timely and accurate clinical coding and abstraction of Emergency Department (ED) services, to facilitate accurate reimbursement, research, and PI initiatives. The ED Coder is responsible for, but not limited to,...
09.22.2017
Cape Cod Healthcare is the leading provider of healthcare services for residents and visitors of Cape Cod. With more than 450 physicians, 4,700 employees, and 1,100 volunteers, Cape Cod Healthcare operates two-acute care hospitals, the Cape's...
09.22.2017
This position is responsible for coding and abstracting of medical records for Professional Services, as well as working with Providers to clarify or improve areas which affect coding. May also complete special projects related to coding,...
09.22.2017
The Hospital Coder reviews and accurately codes and abstracts the most complex hospital services such as same day surgeries, in-patient procedures, overnight / multi-night stay services and all other complex medical services. The Hospital Coder...
09.22.2017
- Certified Coder- UC Health Stetson- Neurosurgery (044217) Job Description Certified Coder- UC Health Stetson- Neurosurgery(Job Number: 044217) Description Primary Purpose: Using established policies and procedures; the Certified Coder...
09.07.2017
Reporting to the Coding Supervisor - Hospital, primary responsibilities for facility based coding includes the assignment of ICD-CM/PCS, CPT, and HCPCS codes, modifiers, abstracting, selection of MS Diagnosis Related Groupings (MS-DRG), APC...
  1. Coder Gooding, ID North Canyon Medical Center
    Experienced coder with one to three years experience in healthcare operations and coding certificate. Requires extensive knowledge of medical terminology, anatomy, physiology, pathophysiology, and ICD-9-CM codes.
  2. Coder Arlington, VA Virginia Hospital Center
    Purpose and Scope: Utilize ICD-10CM & CPT-4 to code inpatient and outpatient Medical Records Virginia Hospital Center is an independent and progressive 342-bed not-for-profit teaching hospital in Arlington, VA. Part of the Mayo Clinic...
  3. Medical Coder I Richmond, VA VCU Health System
    VCU Health System's Business Office - Coding Svcs-Proce is seeking a full time Medical Coder I to support Anesthesia service coding/billing Process. This person translates provider documentation and/or reports and makes the determination as to...
  4. Medical Coder II Richmond, VA VCU Health System
    VCU Health System's Business Office_Coding Svcs-Proce is seeking a full time Medical Coder II. This person translates authenticated provider documentation and/or reports and makes the determination as to the appropriate CPT, ICD-9/10 codes for...
  5. Coder Port Clinton, OH Magruder Hospital
    We have one part-time opening in our Health Information Management Department for a Coder. Days and hours will vary.Qualified candidates must have a High School Diploma or GED equivalent.Previous experience in ICD-9-CM coding, DRGs and CPT coding...
  6. Medical Coder III Richmond, VA VCU Health System
    VCU Health System's Business Office - Coding Svcs-Proce is seeking a full time Medical Coder III to support the Division of Plastic Surgery. This person translates provider documentation and/or reports and makes the determination as to the...
  7. Inpatient Coder/Coder II Boston, MA Tufts Medical Center
    Under the general direction of the Coding Manager, this position reviews the medical record to verify diagnosis and procedures and Present on Admission Indicators. The Coder abstracts the information by using the appropriate coding classification...
  8. CODER II Tupelo, MS North MS Medical Center
    Certified Professional Coder or RHIT with at least one year previous outpatient coding experience with ICD-9-CM and CPT coding schemes including evaluation and management codes and experience with insurance carriers. (B306)
  9. Coder (FT, 8am-5pm) Aiken, SC Aiken Regional Medical Centers
    Universal Health Services, Inc. (UHS), is one of the nation's largest and most respected health care management companies, operating through its subsidiaries acute care hospitals, behavioral health facilities and ambulatory centers nationwide....
  10. Coder-Emergency Department Indianapolis, IN Eskenazi Health
    The ED Coder exists to provide timely and accurate clinical coding and abstraction of Emergency Department (ED) services, to facilitate accurate reimbursement, research, and PI initiatives. The ED Coder is responsible for, but not limited to,...
  11. Medical Coder-MACC Hyannis, MA Cape Cod Healthcare
    Cape Cod Healthcare is the leading provider of healthcare services for residents and visitors of Cape Cod. With more than 450 physicians, 4,700 employees, and 1,100 volunteers, Cape Cod Healthcare operates two-acute care hospitals, the Cape's...
  12. Certified Coder Cookeville, TN Cookeville Regional Medical Center
    This position is responsible for coding and abstracting of medical records for Professional Services, as well as working with Providers to clarify or improve areas which affect coding. May also complete special projects related to coding,...
  13. Hospital Coder II Covington, LA St. Tammany Parish Hospital
    The Hospital Coder reviews and accurately codes and abstracts the most complex hospital services such as same day surgeries, in-patient procedures, overnight / multi-night stay services and all other complex medical services. The Hospital Coder...
  14. Certified Coder- UC Health Stetson- Neurosurgery Cincinnati, OH University of Cincinnati Medical Center
    - Certified Coder- UC Health Stetson- Neurosurgery (044217) Job Description Certified Coder- UC Health Stetson- Neurosurgery(Job Number: 044217) Description Primary Purpose: Using established policies and procedures; the Certified Coder...
  15. Coder Hospital Mattoon, IL Sarah Bush Lincoln
    Reporting to the Coding Supervisor - Hospital, primary responsibilities for facility based coding includes the assignment of ICD-CM/PCS, CPT, and HCPCS codes, modifiers, abstracting, selection of MS Diagnosis Related Groupings (MS-DRG), APC...