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Coding Staff

Position: Coding Staff

Department: Clinic Management

Reports to: Department Supervisor

Created: April 16, 2025

Job Summary

We are seeking a skilled and detail-oriented Certified Medical Coder specializing in clinic or professional coding to join our healthcare team. The ideal candidate will be responsible for accurately assigning appropriate medical codes to diagnoses, procedures, and services provided in a clinic or professional setting. The Certified Medical Coder plays a vital role in ensuring compliance with coding guidelines, maximizing revenue capture, and supporting efficient healthcare operations.

Essential Duties and Responsibilities

+ Review and analyze medical records, encounter forms, and documentation to accurately assign ICD-10-CM, CPT, and HCPCS codes.

+ Ensure coding accuracy and compliance with regulatory requirements and organizational policies.

+ Collaborate with healthcare providers and clinical staff to clarify diagnoses or procedures for accurate code assignment.

+ Conduct coding audits to identify coding discrepancies, documentation issues, and areas for improvement.

+ Provide coding expertise and guidance to healthcare providers and staff to optimize reimbursement and compliance.

+ Stay updated with changes in coding guidelines, reimbursement methodologies, and healthcare regulations.

+ Assist in resolving coding-related denials and appeals by providing additional documentation or clarification as needed.

+ Maintain confidentiality of patient information and adhere to ethical standards of the healthcare profession.

Requirements

+ Minimum of (1) years of experience in clinic or professional coding within a healthcare setting.

+ Proficiency in ICD-10-CM, CPT, and HCPCS

+ Strong understanding of medical terminology, anatomy, and physiology.

+ Excellent analytical and problem-solving skills with attention to detail.

+ Effective communication skills to interact professionally with healthcare providers and team members.

+ Ability to work independently and prioritize workload in a fast-paced environment.

+ Familiarity with electronic health record (EHR) systems and coding software (e.g., Epic, Cerner, 3M, etc.).

Preferred Qualifications

+ Certified Professional Coder (CPC) certification; other relevant certifications may be considered.

+ Experience with coding audits, compliance reviews, or quality assurance activities.

+ Knowledge of Medicare, Medicaid, and third-party payer regulations.

+ Previous experience with clinic or professional fee billing processes.

Working Conditions

+ Primarily seated in a front desk/reception area

+ May involve occasional lifting of files or office supplies (up to 15 lbs)

+ Frequent interaction with patients, staff, and providers