MEDICAL CODER

Key Responsibilities:

• Review radiology reports and documentation for coding accuracy.

• Assign CPT and ICD-10-CM codes for diagnostic and interventional radiology procedures.

• Ensure compliance with payer guidelines, coding rules, and regulatory requirements (CMS, ACR, etc.).

• Stay updated on NCCI edits, radiology-specific modifiers, and bundling rules.

• Collaborate with radiologists and other departments to clarify documentation as needed.

• Meet productivity and quality benchmarks.

• Assist in coding audits and respond to audit queries.

• Maintain confidentiality and integrity of patient records.

Key Responsibilities:(IPDRG)

• Review inpatient records (e.g., H&P, discharge summary, operative reports) to assign ICD-10-CM and ICD-10-PCS codes.

• Determine accurate MS-DRG or APR-DRG assignments using encoder and grouping software.

• Ensure documentation supports code assignment and DRG validation.

• Identify and report opportunities for physician queries and clinical documentation improvement (CDI).

• Adhere to national coding guidelines, UHDDS definitions, and facility coding policies.

• Collaborate with CDI specialists, physicians, and billing teams to ensure data integrity.

• Maintain productivity and quality metrics.

• Participate in audits and education sessions.