Senior Medical Coder

October 22nd, 2013

MModal is seeking to hire a senior medical coder. As a medical coder you would be responsible for providing coding and abstracting services for clients on inpatient, outpatient, physician or emergency room medical records using ICD-9-CM and CPT coding systems.

As part of the requirements, you should be familiar with coding principles and have the required knowledge and experience to assign diagnostic and procedural codes after a thorough review of the medical record. Other duties include performance of quality assessments on coding and participates in the training of staff and clients in coding systems and guidelines.

Duties:

  • Reviews medical records to identify pertinent diagnoses and procedures relative to the patient’s health care encounter
  • Selects and assigns ICD-9-CM and CPT codes to cases based on the documentation in the medical record, using appropriate reference materials
  • Selects the principal diagnosis and principal procedure, along with other diagnoses and procedures using UHDDS definition
  • Reviews medical records to identify pertinent diagnoses and procedures relative to the patient’s health care encounter
    Selects and assigns ICD-9-CM and CPT codes to cases based on the documentation in the medical record, using appropriate reference materials
  • Selects the principal diagnosis and principal procedure, along with other diagnoses and procedures using UHDDS definition
  • Ensures appropriate DRG assignment
  • Abstracts appropriate information from the medical record based on the guidelines provided by the client and after a thorough review of the medical record
  • Solicits clarification from the physician regarding ambiguous or conflicting documentation in the medical record using guidelines provided by the client
  • Solicits clarification from the client’s management staff regarding questions on internal coding guidelines, coding workflow or process
  • May be required to provide education and training to clients and staff regarding ICD-9-CM, CPT and/or E & M coding systems
  • Conducts coding quality assessments for clients that include the design of data collection form, informal exit interview, and preparation of written report
  • Participates in Coding Roundtables through presentation of materials, articles and current issues related to coding and Health Information Management

Requirements:

  • Must have a minimum of 5 years of related coding experience
  • Bachelors or Associates degree preferred
  • Certification or License Required (RHIA, RHIT, CCS, CCS-P, CPC, CPC-H)
  • Excellent verbal and written communication skills
  • Understands medical terminology, anatomy, physiology, surgical technology, pharmacology and disease processes
  • Extensive knowledge of ICD-9-CM and CPT coding principles and guidelines, reimbursement systems, federal, state and payor-specific regulations andpolicies pertaining to documentation, coding and billing

If you are interested in this virtual position, please email your resume to: jobs@mmodal.com


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