Medical Coder Trainee

A Medical Coder Trainee translates medical information from patient records into standardized codes for billing and data analysis. They analyze medical documents, identify diagnoses and procedures, and assign appropriate ICD, CPT, and HCPCS codes. They ensure accuracy and compliance with coding guidelines, often working under the supervision of experienced coders.

Key Responsibilities:

1. Analyzing Medical Records:
Reviewing patient charts, physician notes, lab reports, and other medical documentation to understand the patient’s condition and the services provided.
2. Code Assignment:
Assigning appropriate codes (ICD-10, CPT, HCPCS) to diagnoses, procedures, and treatments based on the medical documentation.
3. Ensuring Accuracy and Compliance:
Verifying the accuracy of coded information and ensuring compliance with coding guidelines, regulations, and payer-specific requirements.
4. Collaboration:
Communicating with healthcare providers to clarify documentation issues or obtain additional information needed for accurate coding.
5. Maintaining Records:
Keeping accurate records of all coding activities and contributing to the overall accuracy of the patient’s medical record.
6. Training and Development:
Participating in training programs to learn medical coding principles, software, and best practices.
7. Quality Assurance:
Assisting with quality assurance reviews to identify and correct any coding errors.
8. Data Analysis:
Contributing to data analysis and reporting by ensuring the accuracy and completeness of coded information. ding and documentation issues.

Must be a Graduate(Life Sciences).