Certified Medical Coder

Job Description

Job Description

Lamoille Health Partners is looking for a Certified Medical Coder to accurately translate diagnostic and procedural information from patient medical records into standardized codes. The Medical Coder plays a crucial role in ensuring accurate billing and reimbursement, as well as contributing to valuable healthcare data collection.

ESSENTIAL FUNCTIONS:

• Review and analyze patient medical records, including physician notes, operative reports, laboratory and radiology results, and discharge summaries, to identify pertinent diagnoses and procedures.
• Accurately assign ICD-10-CM, CPT, and HCPCS codes according to official coding guidelines and regulations.
• Ensure proper sequencing of codes to optimize reimbursement and meet payer requirements.
• Abstract relevant information from medical records, including patient demographics, diagnoses, procedures, and dates of service.
• Identify and resolve coding discrepancies, errors, and omissions by clarifying information with physicians and other healthcare providers when necessary.
• Stay up-to-date on coding guidelines, regulations, and payer policies through continuous learning and professional development.
• Utilize coding software and electronic health record (EHR) systems to accurately input and manage coded data.
• Maintain a high level of accuracy and efficiency in coding assignments.
• Adhere to HIPAA guidelines and maintain the confidentiality of patient information.
• Collaborate with billing staff to ensure accurate and timely claim submission.
• Assist with internal and external coding audits as needed.
• Contribute to the development and implementation of coding policies and procedures.
• Abide by Lamoille Health Partners’ Compliance Program and Standards of Conduct during term of employment.

Note that this job description is not designed to cover or contain a comprehensive listing of activities or responsibilities that are required of the Team Member for this position. Duties, responsibilities may change at any time with or without notice.

EDUCATION/EXPERIENCE:

• High school diploma or equivalent required; Associate's degree in Health Information Technology or related field preferred.
• Current and valid medical coding certificationfrom a recognized professional organization such as:
  1. AAPC (American Academy of Professional Coders): CPC (Certified Professional Coder), CPC-A (Certified Professional Coder-Apprentice), COC (Certified Outpatient Coder), CRC (Certified Risk Adjustment Coder), CPMA (Certified Professional Medical Auditor).
  2. AHIMA (American Health Information Management Association): CCS (Certified Coding Specialist), CCS-P (Certified Coding Specialist – Physician-based), CCA (Certified Coding Associate).
• Minimum of 3 years of medical coding experience, preferably in a medical center.
• Thorough knowledge of ICD-10-CM, CPT, and HCPCS coding systems and guidelines.
• Familiarity with medical terminology, anatomy, physiology, and pathophysiology.
• Experience with electronic health records (EHR) and coding software [Specify software if applicable].
• Strong analytical and problem-solving skills.
• Excellent attention to detail and accuracy.
• Strong organizational and time-management skills with the ability to meet deadlines.
• Effective communication (written and verbal) and interpersonal skills.
• Ability to work independently and as part of a team.
• Proficient in basic computer applications (Microsoft Office Suite).
• Knowledge of HIPAA regulations and patient privacy.