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RCM coder / Medical Coder
Job details
Job type
Full-time
Full job description
Key Responsibilities
- Review patient medical records, physician notes, and clinical documentation to assign accurate diagnosis codes (ICD-10) and procedure codes (CPT/HCPCS or local equivalent).
- Ensure coding accuracy and completeness in line with payer guidelines, MOH regulations, and insurance company requirements.
- Verify that documentation supports the codes assigned; query physicians for clarification when documentation is insufficient or ambiguous.
- Collaborate with billing staff to ensure claims are coded correctly before submission, reducing rejections and denials.
- Identify and correct coding errors, discrepancies, or missing information prior to claim submission.
- Stay updated on coding guideline changes, payer policy updates, and regulatory requirements (ICD-10 updates, CPT revisions, local MOH/insurance rules).
- Support denial management by reviewing coding-related denials and providing corrections or appeals documentation.
- Maintain coding productivity and accuracy targets/KPIs as set by the department.
- Ensure patient confidentiality and data security in line with HIPAA/local data protection standards.
- Participate in internal audits and coding compliance reviews.
- Coordinate with clinical departments and physicians to improve documentation quality (Clinical Documentation Improvement - CDI support).
Qualifications
- Diploma or Bachelor's degree in Health Information Management, Medical Coding, Nursing, or related medical field.
- Certified Medical Coder (e.g., CPC – Certified Professional Coder, CCS – Certified Coding Specialist, or equivalent) — required or strongly preferred.
- 2+ years of experience in medical coding, preferably in a hospital or multi-specialty setting.
- Strong knowledge of ICD-10, CPT/HCPCS coding systems, and payer-specific billing rules.
- Familiarity with Hospital Information Systems (HIS) and electronic health records (EHR).
Job Type: Full-time
Work Location: In person
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