Medical coding is a health care profession that centers on investigating and resolving all compliance issues regarding coding, billing, documentation, and reimbursement issues. They also analyze clinical statements using standard codes in medical classification system. In this aspect, they are responsible for gathering data that can be used by both government and private health care organizations in a centralized system of health information management should a national emergency arise such as an epidemic. They can also coordinate with international agencies for various purposes such as a catastrophe that need combined information from different sources for collaboration purposes.
Our Job Description Samples for medical coding come with a comprehensive list of duties and responsibilities expected of medical coders. These samples will help organizations choose from the list to draft their own requirements for qualified coders needed for the job.
Billing and Medical Coding Job Description in PDF
Medical Coding Job Description Sample
Inpatient Medical Coding Job Description Example
Medical Reimbursement and Coding Job Description
Medical coders need to be well versed in using a set of published codes on medical diagnoses and procedures. They refer to data such as the International Classification of Diseases (ICD) for epidemiological study purposes whose information may be needed by health care providers and the Common Coding System for Healthcare Procedures (HCPCS) needed for health insurance purposes.
The use of standard codes is necessary to map out uniformity with different service providers who use different terminologies when diagnosing on medical procedures and prescription medication on pharmaceuticals. Medical notes transcribed may also be needed for cardiology, orthopedic care, nephrology, neurology, and gastroenterology, among many specialties.
Chief among a medical coder’s responsibilities include
- billing, collecting, posting, managing account payments, submitting claims, and following up on insurance companies;
- reviews and studies all information and publications relating to coding, billing, and reimbursement compliance;
- reviewing, assessing, studying, and analyzing the coding, documentation, and reimbursement system for potential problems in compliance and non-compliant activities;
- answering questions and inquiries from patients and insurance companies for possible fraud alerts and other insurance advisory opinions;
- translating patient information records into alphanumeric and numeric medical codes using several coding systems; and
- maintaining strict confidentiality and adhering to all Health Insurance Portability and Accountability Act (HIPAA; for U.S. health guidelines applicable to the United States only).
For other health care-related job description samples, please check out our Medical Receptionist Job Descriptions. These also have a comprehensive list of the tasks, duties, and responsibilities needed of a qualified medical receptionist that health care institutions may need.
Medical Coding Specialist Job Description
Medical Coding Analyst Job Description
Medical Coding Auditor Job Description
Medical Coding Supervisor Job Description
Medical Coding Technician Job Description
Besides transcribing patient health information and treatment procedures, medical coders need to identify and resolve patient billing complaints. This is because when they are not transcribing patient health information and treatment records, they have the double task of preparing, reviewing, and sending patient statements. They also need to follow up and report the status of delinquent accounts, and depending on the situation, they may forward these delinquent accounts to collection agencies. In this regard, they may also evaluate a patient’s financial status prior to treatment and establish the best possible budget plans that the patient can afford.
For other health care-related recording job description samples, you can refer to Medical Records Job Descriptions. You can click on the link to view examples and download these for free and edit or modify to your own specifications.
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