JOB PURPOSE
- The Medical Coder will be responsible for accurately interpreting, coding, and summarizing the medical records and ensuring compliance with all relevant coding guidelines and regulations.
REQUIREMENTS & Education
Bachelor's degree in Nursing, Allied Health, Life Sciences, or a related healthcare field
Experience/Qualification
- Preferred: CPC, CCS, or equivalent credential.
- 25 years of experience in clinical documentation review, medical coding, utilization review, or related healthcare documentation work.
- Strong understanding of medical terminology, disease processes, and healthcare documentation standards.
- Excellent analytical, written communication, and summarization skills.
- Familiarity with EHR/EMR systems (e.g., Epic, Cerner, Meditech) and Microsoft Office tools.
Certifications (If Any)
Preferred: CPC, CCS, or equivalent credential.
KEY RESPONSIBILITIES
Review and evaluate medical records, progress notes, discharge summaries, and other clinical documentation for accuracy and completeness.
- Prepare concise and comprehensive clinical summaries highlighting key diagnoses, treatments, medications, and outcomes.
- Ensure documentation aligns with coding, billing, and compliance requirements (e.g., ICD-10, CPT, CMS, HIPAA).
- Identify gaps, inconsistencies, or missing information in clinical documentation and escalate for clarification or correction.
- Support preauthorization, claims, and medical necessity reviews by providing clinical context and supporting summaries.
- Collaborate with physicians, nurses, coders, and case managers to maintain high-quality clinical documentation.
- Maintain confidentiality and data integrity in accordance with HIPAA and organizational policies.
- Participate in internal audits, training sessions, and process improvement initiatives related to documentation standards.
Send your resumes to [Confidential Information]
Contact HR 9866005442 / whats app
