Medical Coder

Highmark
Full time
Healthcare
United States
Hiring from: Anywhere

MEDICAL CODER



  • Job ID: J165128

  • Company: Gateway Health

  • Location: Remote

  • Full/Part Time: Full time

  • Job Type: Day (United States of America)


JOB SUMMARY


This job assigns codes (ICD-9, 10, CPT and HCPCS) which most accurately describe diagnosis, procedures and therapies according to established guidelines. The incumbent is accountable for assigning and sequencing ICD-9 CM/CPT/HCPCS and ICD-10 codes to diagnoses and procedure for the documented information.


ESSENTIAL RESPONSIBILITIES



  • Compile, abstract and maintain patient medical records to document condition and treatment. Actively code diagnoses (ICD-9) based on medical record documentation.

  • Review records for completeness, accuracy and compliance with regulations. Protect the security of medical records to ensure that confidentiality is maintained.

  • Participate in inter-rater reliability testing/peer review exercises, as requested.

  • Other duties as assigned or requested.


QUALIFICATIONS


Minimum



  • Associate degree in medical record technology or 1 year coding diploma

  • Registered Health Information Administrator (RHIA) or Registered Health Information Technician (RHIT) or Certified Coding Specialist (CCS) or Certified Professional Coder (CPC)

  • 1 year of coding experience


Preferred



  • None


Skills



  • Experience with commercial claims and/or medical/surgical products or Medicare advantage or Medicare fee for service program coverage, the Common Procedure Coding System (HCPCS), International Classification of Diseases (ICD-9, ICD-10) information

  • Knowledge of coding International Classification of Diseases, 9th Revision (ICD-9) codes

  • Understands and applies appropriate Centers for Medicare & Medicaid Services (CMS) guidelines to coding

  • Knowledge of anatomy, physiology and medical terminology

  • Coding software familiarity

  • Excellent verbal, math and written communication skills

  • Data entry


SCOPE OF RESPONSIBILITY



  • Does this role supervise/manage other employees?

    • No




WORK ENVIRONMENT



  • Is Travel Required?

    • No




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