Medical Coder

Job Description: Medical Coder – ENT Clinic-Tulsa, OK

Position Title: Medical Coder (ENT Specialty)

Pay Rate: $24-$27/hour

Reports To: Practice Manager or Director of Revenue Cycle

Employment Type: Full-time 

Position Summary

The Medical Coder serves a vital role in our ENT (Ear, Nose & Throat) clinic, ensuring accurate, compliant, and timely coding of all clinical and procedural services. You will work closely with providers, billing staff, and other revenue cycle team members to translate documentation from consultations, procedures (e.g., endoscopies, sinus surgeries, audiology services), and follow-ups into appropriate diagnosis (ICD-10), procedure (CPT/HCPCS) and service codes. Your work helps facilitate proper reimbursement, maintain regulatory compliance, and support the financial health of the practice.

Key Responsibilities

• Review patient documentation from the physicians, physician assistants, audiologists and nursing/support staff in the ENT specialty.
• Assign accurate ICD-10 diagnosis codes, CPT and HCPCS procedure codes, modifier usage, based on documentation, payer guidelines and current coding rules.
• Verify that documentation supports the services rendered, flag missing or unclear information, and coordinate with providers or clinical staff for clarifications or supplemental documentation.
• Ensure coding practices comply with payer policies (commercial, Medicare, Medicaid), regulatory standards (e.g., HIPAA, OIG guidance), and internal clinic policies.
• Collaborate with scheduling and billing teams to ensure correct site of service, provider identifiers, patient demographics, and encounter data are captured accurately.
• Monitor and audit coding for accuracy and completeness; participate in chart audits and develop corrective actions for coding or documentation issues.
• Assist with handling coding-related denials or queries, working with billing staff to resolve issues that stem from coding or documentation.
• Stay current with changes to coding guidelines (ICD-10-CM, CPT, HCPCS), payer updates, and industry best practices applicable to ENT and allied services (e.g., audiology, sleep studies).
• May provide training or guidance to clinical staff on documentation best practices to support coding.
• Maintain confidentiality of patient and clinic data; adhere to HIPAA, organizational policies, and ethical standards of coding practice.

Qualifications

• Minimum of 1-2 years of medical coding experience, preferably in a physician practice or outpatient specialty clinic — ENT a plus but not required.
• Certification in medical coding preferred (for example AAPC “CPC” or AHIMA “CCA/CCS”) or willingness to obtain.
• Proficient knowledge of ICD-10, CPT/HCPCS, modifiers, payer rules and documentation requirements.
• Strong attention to detail, analytical skills, ability to interpret clinical documentation and apply it to appropriate codes.

Compensation & Benefits

• Compensation will be commensurate with experience, certifications, and skill set.
• Benefits may include: health insurance, paid time off, vacation pay etc.

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Medical coding certification required (AAPC or AHIMA)

At least one-two years of medical coding experience

* Compile, process, and maintain medical records of hospital and clinic patients in a manner consistent with medical, administrative, ethical, legal, and regulatory requirements of the healthcare system. Classify medical and healthcare concepts, including diagnosis, procedures, medical services, and equipment, into the healthcare industry's numerical coding system. Includes medical coders.
* Assign the patient to diagnosis-related groups (DRGs), using appropriate computer software.
* Compile and maintain patients' medical records to document condition and treatment and to provide data for research or cost control and care improvement efforts.
* Consult classification manuals to locate information about disease processes.
* Enter data, such as demographic characteristics, history and extent of disease, diagnostic procedures, or treatment into computer.
* Resolve or clarify codes or diagnoses with conflicting, missing, or unclear information by consulting with doctors or others or by participating in the coding team's regular meetings.
* Release information to persons or agencies according to regulations.
* Protect the security of medical records to ensure that confidentiality is maintained.
* Process patient admission or discharge documents.
* Process and prepare business or government forms.
* Post medical insurance billings.
* Maintain or operate a variety of health record indexes or storage and retrieval systems to collect, classify, store, or analyze information.
* Identify, compile, abstract, and code patient data, using standard classification systems.
* Retrieve patient medical records for physicians, technicians, or other medical personnel.
* Review records for completeness, accuracy, and compliance with regulations.
* Scan patients' health records into electronic formats.
* Schedule medical appointments for patients.