Duncan Regional Hospital

JOB SUMMARY: This position is responsible for reviewing a patient's medical records after a Clinic visit and translating the information into codes that insurers use to process claims for patients. Duties include confirming treatments with medical staff, identifying missing information, and submitting information to insurers for reimbursement. RESPONSIBILITIES (ESSENTIAL FUNCTIONS): Accurately assigns and sequences codes (ICD-10-CM, CPT, HCPCS/modifiers as necessary) for each patient encounter, following proper coding guidelines and legal requirements to ensure compliance with federal and state regulations. Ensures professional/physician billing CPT codes/ICD-10 codes are assigned correctly and sequenced appropriately as per government and insurance regulations. Queries providers or other Clinic team members when code assignments are not straightforward or documentation in the record is inadequate, ambiguous, or unclear for coding purposes. Assigns and enters...

Duncan Regional Hospital in Duncan, OK, seeks a Full-Time Medical Coder to review patient records after clinics, assign ICD-10-CM, CPT, and HCPCS codes, and prepare claims for insurers. The role requires attention to detail and knowledge of coding guidelines, with responsibilities spanning verification, documentation checks, and billing accuracy. The coder will interact with clinical staff to resolve ambiguities, ensure medical necessity, and maintain compliance with coding standards. #J-18808-Ljbffr