Lamoille Health Partners
Job Description
Job Description
Lamoille Health Partners is looking for a
Certified Medical Coder
to accurately translate diagnostic and procedural information from patient medical records into standardized codes. The Medical Coder plays a crucial role in ensuring accurate billing and reimbursement, as well as contributing to valuable healthcare data collection. ESSENTIAL FUNCTIONS: Review and analyze patient medical records, including physician notes, operative reports, laboratory and radiology results, and discharge summaries, to identify pertinent diagnoses and procedures. Accurately assign ICD-10-CM, CPT, and HCPCS codes according to official coding guidelines and regulations. Ensure proper sequencing of codes to optimize reimbursement and meet payer requirements. Abstract relevant information from medical records, including patient demographics, diagnoses, procedures, and dates of service. Identify and resolve coding discrepancies, errors, and omissions by clarifying information with physicians and other healthcare providers when necessary. Stay up-to-date on coding guidelines, regulations, and payer policies through continuous learning and professional development. Utilize coding software and electronic health record (EHR) systems to accurately input and manage coded data. Maintain a high level of accuracy and efficiency in coding assignments. Adhere to HIPAA guidelines and maintain the confidentiality of patient information. Collaborate with billing staff to ensure accurate and timely claim submission. Assist with internal and external coding audits as needed. Contribute to the development and implementation of coding policies and procedures. Abide by Lamoille Health Partners’ Compliance Program and Standards of Conduct during term of employment. Note that this job description is not designed to cover or contain a comprehensive listing of activities or responsibilities that are required of the Team Member for this position. Duties, responsibilities may change at any time with or without notice. EDUCATION/EXPERIENCE: High school diploma or equivalent required; Associate's degree in Health Information Technology or related field preferred. Current and valid medical coding certification from a recognized professional organization such as:
AAPC (American Academy of Professional Coders):
CPC (Certified Professional Coder), CPC-A (Certified Professional Coder-Apprentice), COC (Certified Outpatient Coder), CRC (Certified Risk Adjustment Coder), CPMA (Certified Professional Medical Auditor). AHIMA (American Health Information Management Association):
CCS (Certified Coding Specialist), CCS-P (Certified Coding Specialist – Physician-based), CCA (Certified Coding Associate).
Minimum of 3 years of medical coding experience, preferably in a medical center. Thorough knowledge of ICD-10-CM, CPT, and HCPCS coding systems and guidelines. Familiarity with medical terminology, anatomy, physiology, and pathophysiology. Experience with electronic health records (EHR) and coding software [Specify software if applicable]. Strong analytical and problem-solving skills. Excellent attention to detail and accuracy. Strong organizational and time-management skills with the ability to meet deadlines. Effective communication (written and verbal) and interpersonal skills. Ability to work independently and as part of a team. Proficient in basic computer applications (Microsoft Office Suite). Knowledge of HIPAA regulations and patient privacy.
Job Description
Lamoille Health Partners is looking for a
Certified Medical Coder
to accurately translate diagnostic and procedural information from patient medical records into standardized codes. The Medical Coder plays a crucial role in ensuring accurate billing and reimbursement, as well as contributing to valuable healthcare data collection. ESSENTIAL FUNCTIONS: Review and analyze patient medical records, including physician notes, operative reports, laboratory and radiology results, and discharge summaries, to identify pertinent diagnoses and procedures. Accurately assign ICD-10-CM, CPT, and HCPCS codes according to official coding guidelines and regulations. Ensure proper sequencing of codes to optimize reimbursement and meet payer requirements. Abstract relevant information from medical records, including patient demographics, diagnoses, procedures, and dates of service. Identify and resolve coding discrepancies, errors, and omissions by clarifying information with physicians and other healthcare providers when necessary. Stay up-to-date on coding guidelines, regulations, and payer policies through continuous learning and professional development. Utilize coding software and electronic health record (EHR) systems to accurately input and manage coded data. Maintain a high level of accuracy and efficiency in coding assignments. Adhere to HIPAA guidelines and maintain the confidentiality of patient information. Collaborate with billing staff to ensure accurate and timely claim submission. Assist with internal and external coding audits as needed. Contribute to the development and implementation of coding policies and procedures. Abide by Lamoille Health Partners’ Compliance Program and Standards of Conduct during term of employment. Note that this job description is not designed to cover or contain a comprehensive listing of activities or responsibilities that are required of the Team Member for this position. Duties, responsibilities may change at any time with or without notice. EDUCATION/EXPERIENCE: High school diploma or equivalent required; Associate's degree in Health Information Technology or related field preferred. Current and valid medical coding certification from a recognized professional organization such as:
AAPC (American Academy of Professional Coders):
CPC (Certified Professional Coder), CPC-A (Certified Professional Coder-Apprentice), COC (Certified Outpatient Coder), CRC (Certified Risk Adjustment Coder), CPMA (Certified Professional Medical Auditor). AHIMA (American Health Information Management Association):
CCS (Certified Coding Specialist), CCS-P (Certified Coding Specialist – Physician-based), CCA (Certified Coding Associate).
Minimum of 3 years of medical coding experience, preferably in a medical center. Thorough knowledge of ICD-10-CM, CPT, and HCPCS coding systems and guidelines. Familiarity with medical terminology, anatomy, physiology, and pathophysiology. Experience with electronic health records (EHR) and coding software [Specify software if applicable]. Strong analytical and problem-solving skills. Excellent attention to detail and accuracy. Strong organizational and time-management skills with the ability to meet deadlines. Effective communication (written and verbal) and interpersonal skills. Ability to work independently and as part of a team. Proficient in basic computer applications (Microsoft Office Suite). Knowledge of HIPAA regulations and patient privacy.