Medical Coding Responsibilities

Assign accurate diagnostic and procedural codes to patient encounters, ensuring adherence to coding guidelines and documentation standards.
Review medical records, encounter forms, and other documentation to abstract relevant information for coding purposes.
Translate medical terminology and procedures into standardized codes using ICD-10-CM, CPT, and HCPCS Level II code sets.

Qualifications

Associate degree in Health Information Management or related field (preferred).
Certified Coding Specialist (CCS) or (CCS-P) certification from AHIMA or Certified Professional Coder (CPC), (COC), or (CIC) certification from AAPC.
Minimum of 1 year of experience in outpatient surgery coding in a facility setting.
Proficiency in ICD-10-CM, CPT, and HCPCS Level II coding systems.
Strong understanding of medical terminology, anatomy, physiology, and disease processes.
Excellent attention to detail and analytical skills.
Ability to work independently and collaboratively in a team environment.
Proficiency in using coding software and electronic health record (EHR) systems.