Coder (Healthcare)

Job Summary:
The coder will evaluate medical records and charges to ensure completeness, accuracy, and compliance with State and Federal Regulations and standardized coding guidelines.
Supervisory Responsibilities:
None.
Duties/Responsibilities:
Evaluates medical record documentation and charging to optimize reimbursement by ensuring that diagnostic and procedural codes and other documentation accurately reflect and support the patient visit and ensure that data complies with legal standards and official coding guidelines.
Responsible for assigning appropriate diagnosis and procedural coding to patient encounters according to official coding guidelines.
Reviews state and federal Medicare reimbursement claims for completeness and accuracy before submission to minimize claim denial.
Reads bulletins, newsletters, and periodicals and attends workshops to stay abreast of issues, trends, and changes in laws and regulations governing medical record coding guidelines and documentation.
Educates and advises staff on proper code selection, documentation, procedures, and requirements as needed.
Responsible for ongoing follow-up of needed reports from physicians and/or ancillary departments.
Responsible for assisting with other clerical functions as needed in Health Information Management Department.
Responsible for assisting with all record analysis for incomplete or missing items, identify the responsible practitioner for each of these items, and link the deficiencies to the appropriate physician for completion.
Maintains confidentiality according to established policy.
Performs other related duties as assigned.
Adheres to the facilitys Standards of Excellence.