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
11.17.2017
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...
11.17.2017
VCU Health System's Business Office_Coding Svcs-Proce is seeking a full time Medical Coder II in Colonial Heights, Virginia. This person translates authenticated provider documentation and/or reports and makes the determination as to the...
11.17.2017
VCU Health System's Business Office - Coding Svcs-Proce is seeking a full time Medical Coder III to support the Orthopedics/Neurosurgery. This person translates provider documentation and/or reports and makes the determination as to the...
11.06.2017
Associate Degree JOB SUMMARY: The Coder IV is responsible for inpatient and outpatient coding utilizing the ICD-10-CM, ICD-10-PCS, and CPT-4 classification systems with established coding guidelines for accurate data capture and optimal...
08.06.2017
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 while performing...
05.15.2017
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...
11.17.2017
This position supports Mercy's philosophy of patient centered care by the timely and accurate coding of hospital or professional services using ICD-9-CM and CPT/HCPCS classification systems for the purpose of reimbursement, research, and...
11.17.2017
VCU Health System's Business Office - Coding Svcs-Proce is seeking a full time Medical Coder II to support Internal Medicine. This person translates provider documentation and/or reports and makes the determination as to the appropriate CPT...
11.07.2017
- MEDICAL CODER INPATIENT - HEALTH INFORMATION MANAGEMENT (HEA008XZ) Job Description MEDICAL CODER INPATIENT - HEALTH INFORMATION MANAGEMENT-HEA008XZ Description Position: Medical Coder - Inpatient Location: 100% Remote after training...
11.17.2017
GED or High School Diploma required Position Summary: The Certified Procedures Coder (CPC) will apply knowledge of CPT and ICD coding to appoint Evaluation and Management/procedure/diagnosis/modifier codes to emergency medicine encounters....
11.17.2017
GED or High School Diploma required Position Summary: The Certified Procedures Coder (CPC) will apply knowledge of CPT and ICD coding to appoint Evaluation and Management/procedure/diagnosis/modifier codes to emergency medicine encounters....
08.06.2017
Responsible for interacting with physicians and other patient care providers in coding diagnoses and procedures to obtain correct DRG or APC assignment to promote appropriate reimbursement. Responsible for interacting with patient financial...
09.29.2017
- MEDICAL CODER INPATIENT - HEALTH INFORMATION MANAGEMENT (HEA008VF) Job Description MEDICAL CODER INPATIENT - HEALTH INFORMATION MANAGEMENT-HEA008VF Description This position serves the UNC Health Care System but will be employed on the...
10.17.2017
- MEDICAL CODER SUPERVISOR - UNCFP CODING TEAM 1 (HEA008Y2) Job Description MEDICAL CODER SUPERVISOR - UNCFP CODING TEAM 1-HEA008Y2 Description UNC Physicians is currently recruiting for a Medical Coding Supervisor. The individual in this...
11.17.2017
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...
  1. 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...
  2. 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 in Colonial Heights, Virginia. This person translates authenticated provider documentation and/or reports and makes the determination as to the...
  3. 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 Orthopedics/Neurosurgery. This person translates provider documentation and/or reports and makes the determination as to the...
  4. CODER Morganton, NC Carolinas HealthCare System - Blue Ridge
    Associate Degree JOB SUMMARY: The Coder IV is responsible for inpatient and outpatient coding utilizing the ICD-10-CM, ICD-10-PCS, and CPT-4 classification systems with established coding guidelines for accurate data capture and optimal...
  5. Certified Coder Oxford, NC Granville Health System
    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 while performing...
  6. 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...
  7. Medical Coder IV Cedar Rapids, IA Mercy Cedar Rapids
    This position supports Mercy's philosophy of patient centered care by the timely and accurate coding of hospital or professional services using ICD-9-CM and CPT/HCPCS classification systems for the purpose of reimbursement, research, and...
  8. 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 to support Internal Medicine. This person translates provider documentation and/or reports and makes the determination as to the appropriate CPT...
  9. MEDICAL CODER INPATIENT - HEALTH INFORMATION MANAGEMENT Chapel Hill, NC UNC Health Care
    - MEDICAL CODER INPATIENT - HEALTH INFORMATION MANAGEMENT (HEA008XZ) Job Description MEDICAL CODER INPATIENT - HEALTH INFORMATION MANAGEMENT-HEA008XZ Description Position: Medical Coder - Inpatient Location: 100% Remote after training...
  10. Certified Procedures Coder Spartanburg, SC Spartanburg Regional Healthcare System
    GED or High School Diploma required Position Summary: The Certified Procedures Coder (CPC) will apply knowledge of CPT and ICD coding to appoint Evaluation and Management/procedure/diagnosis/modifier codes to emergency medicine encounters....
  11. Certified Procedures Coder Spartanburg, SC Spartanburg Regional Healthcare System
    GED or High School Diploma required Position Summary: The Certified Procedures Coder (CPC) will apply knowledge of CPT and ICD coding to appoint Evaluation and Management/procedure/diagnosis/modifier codes to emergency medicine encounters....
  12. Certified Coder Oxford, NC Granville Health System
    Responsible for interacting with physicians and other patient care providers in coding diagnoses and procedures to obtain correct DRG or APC assignment to promote appropriate reimbursement. Responsible for interacting with patient financial...
  13. MEDICAL CODER INPATIENT - HEALTH INFORMATION MANAGEMENT Chapel Hill, NC UNC Health Care
    - MEDICAL CODER INPATIENT - HEALTH INFORMATION MANAGEMENT (HEA008VF) Job Description MEDICAL CODER INPATIENT - HEALTH INFORMATION MANAGEMENT-HEA008VF Description This position serves the UNC Health Care System but will be employed on the...
  14. MEDICAL CODER SUPERVISOR - UNCFP CODING TEAM 1 Chapel Hill, NC UNC Health Care
    - MEDICAL CODER SUPERVISOR - UNCFP CODING TEAM 1 (HEA008Y2) Job Description MEDICAL CODER SUPERVISOR - UNCFP CODING TEAM 1-HEA008Y2 Description UNC Physicians is currently recruiting for a Medical Coding Supervisor. The individual in this...
  15. 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...