BARROW BRAIN AND SPINE

JOB DESCRIPTION

OFFICE MEDICAL CODER

JOB TITLE: Medical Office Coder

DEPARTMENT: Business Office

REPORTS TO: Coding Manager and Director of Revenue Cycle

FLSA STATUS: Hourly

JOB SUMMARY: The Medical Coder is responsible for reviewing clinical documentation and assigning appropriate medical codes for diagnoses, procedures, and services rendered by healthcare providers.

JOB DUTIES & RESPONSIBILITIES:

• Review and analyze medical records to ensure that all relevant diagnosis, procedures, and services are accurately coded.
• Assign and sequence ICD-10-CM, CPT, and HCPCS codes based on clinical documentation.
• Ensure that documentation supports coding assignments and meets billing and payer requirements.
• Collaborate with physicians, healthcare providers, and billing staff to resolve any documentation discrepancies.
• Conduct coding audits and report on findings to ensure coding accuracy and compliance.
• Stay current with coding guidelines, regulations, and updates, ensuring continuous compliance with industry standards.
• Participate in the review of claim denials and provide necessary corrections or explanations.
• Maintain coding productivity and accuracy rates as established by the organization.
• Review of office documentation to accurately enter all charges into the EHR.

• Research in-progress tickets within the EMR.
• Contacts physician’s immediate staff for corrections needed in order to process office charges. Follows up until all corrected information is received.
• Notifies supervisor of recurring problems regarding office charges.

• Attends staff meetings and participates in special committees as required

• Ensure that all procedures, codes, and charges are correct and in compliance with coding and billing guidelines.
• Regularly audit entered charges for accuracy and reconcile discrepancies in charge entries.
• Work closely with the Managers and Directors and clinical staff to resolve any charge-related issues or discrepancies.
• Generates and review reports related to office charges, identifying trends and areas for improvement.
• Ensure compliance with all federal, state, and local regulations related to charge entry and coding.
• Other duties and assignments as necessary.

PERFORMANCE REQUIREMENTS:

• Communicates well and effectively.

• Demonstrates acute awareness of insurance company contracts.

• Reports to work regularly without undue tardiness.

• Maintains positive attitude and demonstrates the utmost in professionalism.

• Dresses appropriately and professionally.

• Works independently, without supervision.

• Completes work accurately and in a timely manner.

• Maintains effective working relationships with physicians, administration and other staff members.

TYPICAL PHYSICAL DEMANDS:

• Prolonged sitting, standing, some bending, stooping and stretching and/or walking.
• Eye-hand coordination and manual dexterity sufficient to operate a computer keyboard, photocopier, fax machine, telephone, calculator, and other office equipment.
• Normal range of hearing and vision to record, prepare, and communicate appropriate reports.

TYPICAL WORKING CONDITIONS:

• Work is performed in an office environment, with contact with office staff, physicians, etc.
• Overtime as required.

EDUCATION & EXPERIENCE:

• High school diploma or GED required.
• CPC and other applicable credentials.

• Proficient with Microsoft Office, Teams, including Outlook and Excel.