Medical Coder

Job Description

Job Description

Salary Range : $26.00 to $31.00 an hour

By adhering to Connecticut State Law, pay ranges are posted. The pay rate will vary based on various factors including but not limited to experience, skills, knowledge of position and comparison to others who are already in this role within the company.

COVID-19 and Flu Vaccine Considerations

Masks are optional for employees, visitors, patients, vendors, etc. All employees are strongly encouraged and recommended to obtain the COVID-19 vaccination routinely. Proof of annual flu vaccination is required for all employees.

PACT MSO, LLC is a management service organization that supports a large multi-specialty practice of providers. We are currently looking for an experienced Medical Coder who will be working in Branford Monday through Friday from 8 : 30am to 5 : 00pm. This is not a remote position.

Summary

The coder reviews, analyzes, and codes diagnostic and procedural information in the medical record that determines Medicare, Medicaid, and private insurance payments. The primary function of this position is to assign ICD10, CPT, and HCPCS coding based on provider documentation to ensure accurate reimbursement and tracking of services provided. The coding function ensures compliance with established coding guidelines, third party reimbursement policies, and regulations for a busy Multi-Specialty Practice.

Essential Functions

• Thorough understanding of the contents of medical records in order to identify information to support coding.
• Extracts pertinent information from patient medical records. Assigns ICD10CM, CPT / HCPCS codes and modifiers.
• Reviews and analyzes medical records to identify relevant diagnoses and procedures for distinct patient encounters within a Multispecialty Practice.
• Translates / extracts diagnostic and procedural phrases into coded form - the accurate translation process requires understanding and interpretation of medical reports, industry standard and payer specific coding conventions and guidelines.
• Reviews denials for coding lapses and suggests coding changes for corrective and preventive action.
• Notifies a Manager / Supervisor or designated individual when reports are incomplete and code assignments are not straightforward or documentation is inadequate and updates relevant logs.
• Keeps updates of coding guidelines, federal reimbursement requirements, and changes to third party reimbursement policies.
• Abides by Standards of ethical coding as set forth by American Academy of Professional Coders (AAPC} and American Health Information Management Association (AHIMA) and adheres to official coding guidelines.
• Performs other related duties as required.

Skills and Knowledge

Education and Experience