Medical Coder

• Determines appropriate assignment of CPT, DSM-5, and ICD codes
• Evaluates medical record for consistency and adequacy
• Researches, analyzes, and updates codes
• Ensures all patient visits are coded in accordance with CMS, CPT, DSM-5 and CCI guidelines
• Performs chart audits
• Performs insurance verifications
• Corrects codes
• Conducts quality assurance audits
• Identifies trends and implements solutions
• Communicates with and assists in coding education
• Provides orientation and training
• Serves as a resource to providers and support staff
• Performs data reporting and statistical tracking
• Maintains a resource center regarding coding education
• Participates in department meetings
• Establishes and maintains effective working relationships

• Determines appropriate assignment of CPT, DSM-5, and ICD codes for physician, therapist, and facility services provided in an outpatient and inpatient settings
• Evaluates medical record for consistency and adequacy to prove medical necessity
• Researches, analyzes, and updates codes, as needed, in billing software in a timely manner to maintain prompt billing compliance
• Ensures all patient visits are coded in accordance with Centers for Medicare and Medicaid Services (CMS), CPT, DSM-5 and the Correct Coding Initiative (CCI) guidelines
• Performs chart audits for assigned providers and provides documentation and audit feedback to providers
• Performs insurance verifications to ensure accuracy of coding in electronic record
• Corrects codes, as needed, in billing software in a timely manner to maintain prompt billing compliance
• Conducts quality assurance audits and incorporates quality assurance information, findings and feedback into coding processes
• Identifies trends, recommends, and implements solutions for inaccuracies with coding
• Communicates with and assists in coding education of providers and support staff
• Provides orientation and training to new providers on coding and documentation guidelines and re-education as needed
• Serves as a resource to providers and support staff
• Performs data reporting and statistical tracking
• Maintains a resource center regarding coding education for providers
• Participates in department meetings and interdisciplinary meetings
• Establishes and maintains effective working relationships with other employees, clients, other agencies, and the general public

Experience with 3M, 3m Coding, Allscripts, Armed Forces Health Longitudinal Technology Application (AHLTA), Cerner Technologies, Auditing, Billing Functions, Charts - Graphs, Claim Administration, Clinical Trial Operations, CPT Codes, Dsm-Iv, Centers for Medicare & Medicaid Services (CMS), ICD Codes

• Medical, vision, dental, life and disability insurance
• Eligibility to enroll in company 401(k) plan