CERTIFIED MEDICAL CODER

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Statement Of Purpose

To ensure correctness of data submitted for reimbursement by reviewing encounter data for accuracy and completeness and assigning numeric codes for each diagnosis and procedure.

Statement Of Purpose

To ensure correctness of data submitted for reimbursement by reviewing encounter data for accuracy and completeness and assigning numeric codes for each diagnosis and procedure.

Essential Functions

• Receives completed daily folders from each facility / department and analyzes each for completeness, accuracy of input and compliance with SLFHC policy and rate schedule
• Reviews patient records and assigns numeric codes for each diagnosis and procedure
• Reads and analyzes medical records to help identify all diagnoses and procedures relevant to the current episode of patient care
• Researches encounter integrity for ICD-9, ICD-10 and CPT links and corrects if necessary
• Confirms encounter information and obtains missing information by reviewing the patients medical records chart
• Clarifies inconsistent, ambiguous or non-specific information in a medical record by consulting with the supervisor or the responsible medical practitioner
• Confirms codes to patients current episode of care
• Notifies Lead Certified Medical Coder when training issues are discovered
• Formulates training sessions or literature pertaining to coding and input issues

Education And Experience

Seniority level

Seniority level

Mid-Senior level

Employment type

Employment type

Full-time

Job function

Job function

Health Care Provider

Industries

Medical Practices

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