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
05.24.2017
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.
05.24.2017
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...
05.24.2017
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...
05.24.2017
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...
05.24.2017
VCU Health System's Business Office - Coding/ Billing 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...
05.24.2017
VCU Health System's Business Office - Coding/ Billing 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...
05.24.2017
Coder I - Certified coder, infusion and oncology experience highly desirable. Must also have understanding of denial management and payer requirements, medical necessity requirements for infusion patients. Highly motivated individual. (B305)
05.15.2017
Position Summary: Ability to retrospectively analyze outpatient medical records to accurately assign ICD-10-CM, CPT and HCPCS codes according to national coding regulations and conventions. Must meet minimum productivity and accuracy standards...
04.27.2017
Capital Physician Services, provider clinics Biller/Coder. The candidate must be friendly, with a positive attitude, strong work ethic and excellent communication and people skills. This person must speak and understand English fluently. This...
12.11.2015
Responsible for reviewing/coding/abstracting inpatient records of low to high complexity in an accurate and timely manner. Requires skill in the sequencing of diagnoses and procedures using the International Classification of Diseases. Will...
05.24.2017
The Certified Coder position is located in Fishers, Indiana. Job Duties The Health Information Management (HIM) Certified Coder codes and abstracts inpatient or outpatient hospital, ambulatory surgery centers, or professional services, using...
05.15.2017
POSITION SUMMARY: Responsible for interacting with physicians and other patient care providers in coding admission, principle, and secondary diagnoses and coding principal and secondary procedures to promote appropriate reimbursement....
05.24.2017
PURPOSE OF POSITION: To assign and group diagnoses, procedure and level codes based on medical record documentation in accordance with coding compliance, regulatory and reimbursement requirements. To ensure appropriate coding for case mix...
05.24.2017
Accurately captures charges, codes and audits Shenandoah Medical Center (SMC) billing. This includes prompt procedural and diagnosis coding for entry into the computerized billing system. Ensure compliance with government regulations, SMC and...
05.24.2017
Provides a high level of technical competency and expertise analyzing and evaluating inpatient/ outpatient medical record information to identify and assign codes to diagnoses and procedures. Abstracts data from the medical record for the...
  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 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...
  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. Medical Coder II Richmond, VA VCU Health System
    VCU Health System's Business Office - Coding/ Billing 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...
  6. Medical Coder II Richmond, VA VCU Health System
    VCU Health System's Business Office - Coding/ Billing 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...
  7. CODER I Tupelo, MS North MS Medical Center
    Coder I - Certified coder, infusion and oncology experience highly desirable. Must also have understanding of denial management and payer requirements, medical necessity requirements for infusion patients. Highly motivated individual. (B305)
  8. Certified Coder Oxford, NC Granville Health System
    Position Summary: Ability to retrospectively analyze outpatient medical records to accurately assign ICD-10-CM, CPT and HCPCS codes according to national coding regulations and conventions. Must meet minimum productivity and accuracy standards...
  9. Biller/Coder OLYMPIA, WA Capital Medical Center
    Capital Physician Services, provider clinics Biller/Coder. The candidate must be friendly, with a positive attitude, strong work ethic and excellent communication and people skills. This person must speak and understand English fluently. This...
  10. Coder Roanoke Rapids, NC Halifax Regional
    Responsible for reviewing/coding/abstracting inpatient records of low to high complexity in an accurate and timely manner. Requires skill in the sequencing of diagnoses and procedures using the International Classification of Diseases. Will...
  11. Certified Coder Indianapolis, IN Community Health Network
    The Certified Coder position is located in Fishers, Indiana. Job Duties The Health Information Management (HIM) Certified Coder codes and abstracts inpatient or outpatient hospital, ambulatory surgery centers, or professional services, using...
  12. Certified Coder Oxford, NC Granville Health System
    POSITION SUMMARY: Responsible for interacting with physicians and other patient care providers in coding admission, principle, and secondary diagnoses and coding principal and secondary procedures to promote appropriate reimbursement....
  13. Medical Coder-MACC Hyannis, MA Cape Cod Healthcare
    PURPOSE OF POSITION: To assign and group diagnoses, procedure and level codes based on medical record documentation in accordance with coding compliance, regulatory and reimbursement requirements. To ensure appropriate coding for case mix...
  14. Certified Medical Records Coder Shenandoah, IA Shenandoah Medical Center
    Accurately captures charges, codes and audits Shenandoah Medical Center (SMC) billing. This includes prompt procedural and diagnosis coding for entry into the computerized billing system. Ensure compliance with government regulations, SMC and...
  15. Medical Records Coder - Health Information Management - Full Time - Days Dubuque, IA Mercy Medical Center Dubuque
    Provides a high level of technical competency and expertise analyzing and evaluating inpatient/ outpatient medical record information to identify and assign codes to diagnoses and procedures. Abstracts data from the medical record for the...