What are the responsibilities and job description for the Medical Coder position at NEUROMONITORING ASSOCIATES LLC?
Position Title: Medical Coder
Department: Coding
Reports To: Director of Billing
FLSA: Non-Exempt
Position Summary:
The Medical Coder plays a crucial role in ensuring accurate coding of medical records for intraoperative neuromonitoring services. This position involves reviewing medical records and assigning appropriate codes using ICD-10, CPT, and HCPCS Level II systems. The Medical Coder ensures compliance with industry standards, regulations, and maintains accuracy in coding to support efficient billing processes. The ideal candidate will have a strong attention to detail, solid analytical skills, and the ability to work both independently and collaboratively within a team.
Essential Duties & Responsibilities:
-
Review medical records and assign codes for diagnoses and procedures using ICD-10, CPT, and HCPCS Level II coding systems. Ensure coding accuracy and compliance with regulatory standards.
-
Examine chart elements, including face sheets, operative reports, History and Physical (H&P), and Professional and Technical Reports.
-
Verify the accuracy and completeness of medical records and automation summaries.
-
Prepare and submit coded information for insurance claims and work with billing staff to resolve any coding issues that may delay claims processing.
-
Serve as a resource for claim edits, Local Coverage Determinations, insurance requirements, and intraoperative neurophysiological monitoring specifics.
-
Follow CPT/ICD-10 coding guidelines and legal requirements to ensure compliance with HIPAA and other regulations.
-
Process encounters and ensure all billable services are submitted in a timely manner.
-
Stay current with coding and regulatory requirements and meet continuing education requirements for certification.
-
Identify and communicate trends and educational opportunities to ensure documentation, coding, and billing accuracy.
-
Identify charge-related edits to reduce denials and improve practice management system functionality.
Qualifications & Requirements:
Education Licenses/Certifications:
-
High School diploma or equivalent. Associate or bachelor’s degree preferred.
-
Certified Professional Coder (CPC), or similar certification from a recognized certifying body (required).
-
2-3 years of experience as a Certified Professional Coder.
Experience:
-
Expertise in ICD-10-CM, CPT, and HCPCS coding.
-
Proficient in medical coding and billing software, and capable of seeking assistance when necessary.
-
IONM or OON experience preferred but not required.
-
Proficient in multiple Microsoft operating systems, VOIP, and MS Office Suite (Outlook, Excel, Word, PowerPoint).
Skills & Competencies:
-
Strong focus on accuracy and detail.
-
Good understanding of medical terminology, anatomy, and physiology.
-
Excellent problem-solving abilities and analytical skills.
-
Organized with the ability to complete tasks efficiently.
-
Ability to work independently and as part of a team.
Working Conditions:
-
Generally, work in an office environment.
-
Frequent and prolonged periods of computer and office equipment usage.
-
Standard business hours with occasional overtime to meet project deadlines.
-
Ability to manage stress and maintain productivity under tight deadlines and changing priorities.
-
Regular interaction with team members, clients, and other stakeholders through various communication channels.
Physical Demands:
-
Ability to maintain a stationary position for extended periods.
-
Occasionally required to move short to moderate distances.
-
Must be able to lift and/or move up to 50 pounds occasionally.
Disclaimer: The statements herein are intended to describe the general nature and level of work being performed by employees and are not to be construed as an exhaustive list of responsibilities, duties, and skills required of personnel so classified. Employees must be able to perform the essential functions of the position satisfactorily. Furthermore, the statements do not establish a contract for employment and are subject to change at the discretion of the Company with or without advance notice.