Senior Evaluation & Management Coder Job Description Template
The Senior Evaluation & Management Coder will be responsible for accurately reviewing and coding medical records for evaluation and management services. This role ensures compliance with all relevant coding regulations and standards, contributing to the overall efficiency and accuracy of healthcare documentation and billing processes.
Responsibilities
- Review and accurately code evaluation and management services based on medical records.
- Ensure compliance with all relevant coding standards and regulations.
- Collaborate with healthcare providers to clarify coding and documentation changes.
- Maintain up-to-date knowledge of coding guidelines and industry best practices.
- Participate in continuous quality improvement initiatives for coding processes.
- Assist in training and mentoring junior coders and other staff members on coding practices.
- Generate coding reports and present findings to management.
Qualifications
- Certified Professional Coder (CPC) or equivalent certification required.
- Minimum of 5 years of experience in medical coding, specifically for evaluation and management services.
- Strong knowledge of ICD, CPT, and HCPCS coding systems.
- Thorough understanding of healthcare compliance and regulatory requirements.
- Excellent attention to detail and ability to interpret complex medical records.
Skills
- ICD-10
- CPT coding
- HCPCS
- Medical terminology
- Healthcare compliance
- Data analysis
- Detail-oriented
- Communication
- Mentorship
- Electronic Health Records (EHR) systems
Frequently Asked Questions
A Senior Evaluation & Management Coder specializes in accurately coding patient visits, procedures, and diagnoses for billing purposes. Their role involves analyzing physician documentation, ensuring compliance with coding regulations, and optimizing reimbursements. By utilizing expertise in evaluation and management (E&M) coding, they play a crucial role in maintaining the financial health of healthcare providers.
To become a Senior Evaluation & Management Coder, individuals typically need at least a high school diploma or equivalent, followed by coding certification such as Certified Professional Coder (CPC) or Certified Coding Specialist (CCS). Several years of experience in medical coding, with a focus on evaluation and management services, is also required. Continuous education to keep updated with coding regulations is essential.
The average salary for a Senior Evaluation & Management Coder varies based on geographic location, years of experience, and the employing healthcare institution. Generally, senior coders receive competitive compensation reflective of their expertise in coding for evaluation and management services, along with potential benefits such as health insurance and retirement savings options.
Qualifications for a Senior Evaluation & Management Coder typically include a certification like CPC or CCS, and extensive experience in medical coding. Detailed knowledge of E&M coding guidelines, proficiency in coding software, and an understanding of payer policies are essential. Strong analytical skills, attention to detail, and the ability to work independently are also highly valued.
A Senior Evaluation & Management Coder needs skills such as expert-level knowledge of medical coding, including E&M coding, familiarity with medical terminology and anatomy, and proficiency in health information management software. Responsibilities include reviewing clinical documentation, assigning accurate codes for billing, ensuring coding accuracy and compliance, and occasionally training junior coders.