Inpatient coder Jobs in Toledo, OH

Job Description

Job Description

Hours : Monday - Friday 9am - 1 : 45 pm

Must be certified

General Summary :

The Pathology Medical Coder is responsible for accurately translating pathology services into standardized medical codes for billing, reporting, and compliance. This role requires in-depth knowledge of coding systems such as ICD-10, CPT, and HCPCS, along with the ability to understand medical terminology and pathology reports. The ideal candidate must ensure that all coding meets regulatory requirements and is performed in compliance with healthcare policies and procedures. Additionally, the coder will be responsible for working all eCW claims for denials and errors, ensuring timely resolution and adherence to billing guidelines.

Principal Duties & Responsibilities :

Example of Essential Duties :

• Review pathology reports and assign the appropriate ICD-10, CPT, and HCPCS codes for all diagnostic and procedural information.
• Demographic registration / updates for all patients.
• Enters charges into claim entry in eCW.
• Assists patients and / or insurance companies with billing and authorization questions.
• Analyze and validate the accuracy of diagnosis and procedure documentation in pathology reports to ensure appropriate coding and billing.
• Ensure coding practices adhere to national and local coding guidelines, Medicare, Medicaid, and private insurance policies.
• Accurately enter and track medical codes in billing and coding software systems.
• Collaborate with pathologists, laboratory technicians, and billing departments to clarify coding questions or discrepancies.
• Participate in coding audits and assist in identifying opportunities for improving coding accuracy and efficiency.
• Regularly review updates in medical coding standards and practices, such as ICD-10 and CPT revisions.
• Maintain accurate, detailed, and organized coding and documentation for future reference and audits.
• Other duties as assigned.

Knowledge, Skills & Abilities :

Required :

Education :

Preferred :