Medical Record Coder

2 months ago


San Antonio, United States Insight Global Full time

Working Hours: M-F, 8am-5pm

Must Haves:

  • HS Diploma or GED
  • 3 years of experience in medical record abstraction and coding is required
  • Accredited Coding Certificate: can be from American Health Information Management Association (AHIMA), American Academy of Professional Coders (AAPC), Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), or Certified Coding Specialist (CCS) certification
  • Proficient knowledge of ICD-10 and CPT coding

Plusses:

  • Epic experience
  • Dental coding experience

Day to Day:

  • Reviews, interprets, and assigns diagnostic and procedural codes based upon medical record documentation according to correct coding principles in a dental office.
  • Provides skilled and specialized technical work in documentation and coding for medical billing, abstracts complex patient-related data from medical records and coding of diagnoses and procedures using ICD-10 and CPT codes.
  • Researches and resolves coding related issues and assists in meeting productivity and quality standards.
  • Verifies charge entry and physician notes for completeness to include abstracting and entering relevant medical information from the medical records; checks for required signatures; assures proper documentation guidelines are followed.
  • Review medical records and charge fee information from patient care area.
  • Contacts other facilities to obtain medical records and information needed to bill for services rendered.

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