Illustration of a doctor in an exam room working on a computer

Sample medical coder job description

At [Organization X], we rely on powerfully insightful data to ensure the delivery of excellent healthcare services, and we’re seeking an experienced medical coder to deliver this insight daily. The ideal candidate will have thorough knowledge of anatomical and medical terminology, as well as natural curiosity and an analytical mindset. As the coder mines and interprets patient medical records, transcriptions, test results, and other documentation, we’ll rely on them to ask questions, connect the dots, and uncover information that may be difficult to find — all to ensure a smooth billing process. The medical coder will abide by standard protocols of the profession while using their own methods to compile the most accurate information and promote organizational growth.

Objectives of this role

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

Responsibilities

  • Gather physician background information from various resources for reporting purposes
  • Analyze medical malpractice claims by identifying issues, events, diagnoses, and procedures that led to result
  • Prepare summaries and assign the appropriate codes
  • Review claims to formulate a synopsis of facts, and collaborate with claims examiners as needed
  • Make corrections to draft reports after physician review and submit approved reports to managers in a timely fashion
  • Interact with claims staff, attorneys, and physicians regarding reports

Required skills and qualifications

  • Three to five years of experience in medical coding
  • Deep experience with administrative information systems and applications

Preferred skills and qualifications

  • Bachelor’s degree (or equivalent) in health information systems or related field
  • Professional credential for medical practices, such as CPC (Certified Professional Coder)
  • Experience in using the XIFIN billing system