Job Summary

The Medical Coder assists in the accurate and timely completion of medical records, charge entry, and coding for the Hospital, Care Center, and Clinic.

Supervisory Responsibilities

• N/A

Core Competencies 

• Coding and charge entry.
• Managing the Coding work queues in Epic.
• Assist in referral management and prior auth coding.
• May assist in the credentialing process.
• Work with the billers to help resolve denied or errored out claims.
• Assist in Telehealth process.
• Attend meeting and huddles as needed to ensure charge capture.
• Assist in HEDIS audits.
• Assist with quality audits /reports as needed.
• Serve as an engaged and active team member in meetings and process improvements on chargemaster and charge capture process.
• Assume other responsibilities as directed by manager.

Core Competencies

• Working knowledge of ICD-10 diagnosis codes, HCPCS, and CPT coding assignment.
• Knowledge of information systems and healthcare applications
• Knowledge and experience in computer applications (Windows, MS Office, etc.)
• Knowledge of diagnosis, procedure and PCS coding
• Thorough knowledge of anatomy and physiology
• Excellent grammar and punctuation skills
• Ability to interact well with all staff, including medical staff
• Excellent organization skills

Education/Experience/Licensure

• Completion of medical billing/coding or administrative training or equivalent
• Experience desired, not required

Working Environment - Mental Demands/Physical Demands/Environmental Factors

• Tools/Equipment Used: Standard office equipment including computer and peripherals.
• Posture: Prolonged sitting; occasional bending/stooping, pushing/pulling, and twisting.
• Motion: Repetitive hand motions, frequent keyboarding, and use of mouse; occasional reaching.
• Lifting: Occasional light lifting and carrying (less than 35 pounds).