The Mid-Level Medical Coder is responsible for accurately assigning diagnosis and procedure codes to inpatient, outpatient, or professional medical records using ICD-10-CM, CPT, and HCPCS coding systems. This role supports timely billing and reimbursement, compliance with coding regulations, and contributes to coding quality improvement initiatives.
Assign accurate ICD-10-CM, CPT, and HCPCS codes based on provider documentation.
Review patient records for completeness, consistency, and proper sequencing of diagnoses and procedures.
Ensure coding aligns with payer-specific guidelines, industry standards, and regulatory compliance.
Query providers when necessary to clarify documentation and support coding decisions.
Participate in internal audits and respond to denial management requests.
Collaborate with providers, billing, and compliance teams as needed.
Maintain productivity and accuracy benchmarks in coding volume and quality.
Stay current with industry updates, including changes to coding guidelines and regulations.
Education: High school diploma or equivalent required; Associate's degree in Health Information Management or related field preferred
Certifications (at least one required): CPC, CCS, CCA, RHIT, or equivalent
Experience: 2–4 years of coding experience in hospital or physician-based settings
Strong understanding of coding systems, medical terminology, anatomy, and reimbursement principles
Proficiency in using EMRs and encoder tools (e.g., 3M, Epic, Cerner)
High attention to detail, time management, and analytical skills
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