Senior Medical Coder Job Description Template
The Senior Medical Coder is responsible for reviewing medical records and assigning standard codes for diagnoses and procedures. This role entails performing coding audits to ensure compliance with regulations and to maintain the highest standards of accuracy and data integrity.
Responsibilities
- Review and translate medical records into standardized codes.
- Ensure accurate coding for diagnoses, treatments, and procedures.
- Perform regular audits to verify coding accuracy and compliance.
- Work closely with healthcare providers to clarify diagnoses and documentation.
- Stay updated on changes in coding standards and regulations.
- Assist in training and mentoring junior coders.
- Generate reports on coding activities and compliance.
Qualifications
- Certified Professional Coder (CPC) or Certified Coding Specialist (CCS).
- Minimum of 5 years of experience in medical coding.
- In-depth knowledge of ICD-10, CPT, and HCPCS coding systems.
- Strong understanding of medical terminology, anatomy, and physiology.
- Detail-oriented with strong analytical skills.
- Excellent communication and interpersonal skills.
- Experience with electronic health records (EHR) systems.
Skills
- ICD-10
- CPT coding
- HCPCS
- Medical Terminology
- Anatomy and Physiology
- Data Analysis
- EHR Systems
- Compliance Auditing
- Attention to Detail
- Communication
Frequently Asked Questions
A Senior Medical Coder is responsible for translating healthcare services, procedures, diagnoses, and equipment into universal medical alphanumeric codes. They play a critical role in the healthcare industry by ensuring accurate coding for billing and insurance purposes, which helps facilitate efficient hospitals and clinics operations. Their expertise in medical terminologies and coding systems is essential for ensuring compliance and optimizing reimbursement.
To become a Senior Medical Coder, an individual typically needs a background in health information management or a related field. They should earn relevant certifications such as Certified Professional Coder (CPC) or Certified Coding Specialist (CCS). Extensive experience in medical coding and a deep understanding of coding systems like ICD-10 and CPT is crucial. Continual education may be required to stay updated with the latest coding standards and healthcare regulations.
The average salary for a Senior Medical Coder varies based on location, experience, and certification level. Senior Medical Coders typically earn more than entry-level coders, reflecting their advanced skills and experience. Factors that influence salary include the complexity of job responsibilities, the size of the healthcare facility, and any specialized coding experience in specific medical fields such as oncology or cardiology.
Senior Medical Coders typically need a combination of education, certification, and experience. A degree in health information management or a related field is advantageous. Professional certifications such as Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) are highly recommended. In addition, employers often seek candidates with several years of coding experience, and familiarity with ICD-10 and CPT coding systems is vital.
A Senior Medical Coder must possess excellent attention to detail, strong analytical skills, and the ability to work independently. Responsibilities include accurate encoding of medical procedures, diagnoses, and treatments, along with reviewing patient records for accurate billing. Familiarity with medical terminology and coding systems like ICD-10 and CPT is crucial. They must also stay updated with changes in coding standards, compliance regulations, and maintain high levels of accuracy to prevent claim denials or delays.