Sample Medical Coding Job Description

Job Description

At [CompanyX], we rely on powerfully insightful data to ensure the delivery of our excellent healthcare services. We’re seeking an experienced medical coding professional to deliver that insight to us on a daily basis. Our ideal medical coder will have the thorough knowledge of anatomy and medical terminology you’d expect, as well as a natural curiosity and analytical mind. As you mine, interpret, and code patients’ medical records, transcriptions, test results, and other documentation, we will rely on you to ask questions, connect the dots, and uncover information that may be difficult to find—all with the ultimate goal of ensuring a smooth billing process. You will abide by the standard protocols for medical coding, but will use your own methods to gain the most accurate information to promote organizational growth.

 

Objectives of this Role

  • Manage the program for high-quality, timely coding of diagnoses and procedures for inpatient and outpatient accounts, using ICD-10, CPT-4, and HCPCS coding classification systems, to meet billing system requirements
  •  Work closely with physicians, technicians, insurance companies, and other integral parties to uncover and discuss coding analysis results
  • Develop, modify, and execute company policies and procedures that affect immediate operations and may also have organization-wide impact
  •  Analyze issues where understanding situations or data, requires in-depth knowledge of organizational objectives
  •  Implement strategic policies, while selecting methods and evaluation criteria for obtaining accurate results

Daily and Monthly Responsibilities

  • Retrieve and collect physician background info from various resources for reporting
  • Analyze medical malpractice claims by identifying issues, events, diagnoses, and procedures that resulted in the action
  • Prepare summaries and assign the appropriate codes that apply
  • Review claims to formulate a synopsis of facts and collaborate with claims examiners regarding the synopsis as needed
  • Make corrections to draft reports sent for physician review and submit approved reports to management in a timely fashion
  • Interact with claims staff, attorneys, and physicians regarding reports on an as-needed basis

Skills and Qualifications

  • Bachelor's degree in health information systems or business
  • Certification as a CPC for medical practices
  • 3-5 years of experience in medical coding
  • Proven experience in administrative medical information management and computer application
  • Ability to work on software applications systems and a willingness to learn

Preferred Qualifications

  • Master’s degree in health information or business administration
  • Experience using the Xifin system (medical billing)
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