Medical Coder

The Medical Coder is responsible for reviewing patient medical records, assigning accurate diagnosis and procedure codes, and ensuring proper documentation for billing, reimbursement, and compliance. The role involves analyzing charts, identifying missing information, and coordinating with providers to resolve discrepancies. Accuracy, attention to detail, and adherence to coding guidelines are essential.

Key Responsibilities:

Review and analyze medical records and clinical documentation

Assign appropriate ICD-10, CPT, HCPCS, or facility-specific codes

Ensure coding accuracy for claims submission and reimbursement

Identify missing or unclear documentation and request clarification

Maintain compliance with industry standards and payer guidelines

Required Certifications:

AHIMA or AAPC credentials, such as:

Certified Professional Coder (CPC / CPC-A)

Certified Outpatient Coder (COC)

Certified Inpatient Coder (CIC)

Certified Coding Specialist (CCS)

Certified Coding Specialist – Physician-based (CCS-P)

Preferred Background:

BS Nursing or Medical-Allied course graduate

Minimum of 6 months to 1 year coding experience (IP/Profee/ED/OBS/SDS depending on role)