Certified Medical Coder - Onsite

Medical Coder

The medical coder will assign procedure, diagnosis codes for insurance billing, review claims data, research and correspond with insurance companies in an effort to obtain accurate reimbursement for healthcare claims.

Duties include but are not limited to:

• Utilize specialized medical classification software to assign procedure and diagnosis codes for insurance billing.
• Review claims data to ensure that assigned codes meet required legal and insurance rules and that required signatures and authorizations are in place prior to submission.
• Conduct medical records research and correspond with insurance companies and healthcare professionals to resolve issues resulting from denied claims
• Adhere to coding policies and procedures consistent with the industry-standard guidelines for CPT, ICD-9 and ICD-10.
• Answer coding questions
• Review clinical documentation to ensure it meets the level of CPT codes, ICD-10 and ICD-11 codes