Medical Coder

Job Description

Medical coder/Sr. Medical Coder PRINCIPLE PURPOSE OF JOB We are currently seeking a medical coder to support a growing client base. The medical coder is a key member of payer side medical claims audit team. The medical coder is responsible for analyzing and interpreting and assigns correct codes for the descriptions available on various medical procedures and diagnoses as per the medical policy requirements. JOB RESPONSIBILITIES Accurately analyzes provider documentation and ensure that appropriate Evaluation & Management (E&M) levels are assigned using the correct CPT codes. Follows coding guidelines and legal requirements to ensure compliance with federal and state regulatory bodies. Evaluates medical records for consistency and adequacy of documentation. Maintains compliance standards as per the policies and reports compliance issues as required. ATTRIBUTES AND BEHAVIORS Develops and maintains positive working relationships with others. Shares ideas and information. Team player. Takes pride in the achievement of team objectives. Has credibility with peers and senior managers. Self-motivated driven to achieve results. Keeps pace with change acquires knowledge/skills as the business evolves. Handles confidential information with sensitivity. RELEVANT EXPERIENCE & EDUCATIONAL REQUIREMENTS Bachelors degree in any stream (preferably Life Science). Certified Professional Coder (CPC) from the American Academy of Professional Coders (AAPC) with knowledge of HCPCS, ICD, CPT, and DRG preferred. Minimum one year of experience in medical coding. Knowledge of ICD-10 coding preferred. SKILLS & COMPETENCIES Analytical thinking and problem solving skills. Good verbal and written communication skills. Excel proficiency. Ability to work independently and accomplish targets in a timely manner. JOB DEMANDS Ability to work seated at a computer for long periods of time. Candidate should be ready to work in night shift. KEY CONSTITUENTS No direct reports. Works with all Cotiviti business teams, especially with the medical coding team.