Medical Coder

Key Responsibilities (List the top five to seven essential responsibilities in priority order.):

• Abstracts relevant clinical and demographic information from the medical record to assign current ICD-10 and CPT codes in accordance with coding and reimbursement guidelines.
• Identifies eligible HCCs (Hierarchal Condition Coding) when appropriate in relation to
  -provided guidelines, with minimal error, based on provider documentation
• Follows coding processes and procedures along with updating them as directed by manager.
• Performs the minimum number of validations consistent with established departmental goals .
• Provides clear communication, with the ability to Identify and report quality concerns and errors.
• Able to query providers when appropriate.
• Requests documentation / diagnosis from provider when information is not recorded.
• Determines and records the required medical information and additions to the Problem List in the EHR in accordance to established guidelines.
• Works with appropriate clinic staff in coordinating medical information for completion of patient record with HCCs.
• Updates coding procedures and guidelines in coordination with Coding Manager
• Maintains the confidentiality of the medical information contained in each record.
• Patient information to be handled in accordance with HIPAA guidelines.
• Expected to be able to partner with practices and peers in a collaborative way in coordination with manager and director.
• Participates virtually in team and department meetings, educational sessions and events.
• Maintains patient privacy according to local and national laws, treating all patient and family information as privileged and protected.
• Follows Client ICARE and ILEAD policies.
• Follows and abides by remote employee guidelines.
• High School graduate or equivalent.
• 3-5 years of outpatient coding experience
• Minimum of 2 years of HCC coding
• Excellent knowledge of ICD-10 and CPT Coding Systems required
• Must be well versed in handling PHI.
• CPC, CRC, COC or CCA certification from the American Academy of Professional Coders or AHIMA