medical coder


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medical coder

A person who assigns numeric codes to represent diagnoses and procedures, describe patient treatment and delineate fees for health services, based on an official classification system (e.g., CPT-4, ICD-9/10, HCPC). MCs are responsible for evaluating documentation to assure correct code selection for compliance with federal regulations and insurance requirements.

Medical coders work in hospitals, insurance companies and physician offices under the supervision of the health information manager or chief fiscal officer; some are self-employed and contract for their services. Their work is used by risk managers, utilisation review, quality assurance, case management, clinical managers, and other healthcare providers.

Education/certification
2-year associate's degree encompassing knowledge of medical terminology, anatomy and physiology; working knowledge of HCPC, ICD, and CPT codes.
References in periodicals archive ?
Clinical appeal team members should include a physician or nurse practitioner, registered nurse (RN), medical coder, and contract person from the facility.
And while we are careful in interpreting these higher values necessarily as causation between providing the list and better coding performance, one might conclude that the improved performance may illustrate that medical coder training and education in its current form do not focus enough on adverse event recognition and the codes for reporting these types of events and may need to be addressed if ICD-11 is going to prove its maximum benefit.
Have a medical coder compare notes with the clinician to determine if any critical information needed to justify the codes used has been omitted.
Defendant supported its cross motion with an affidavit by its certified medical coder and biller, which affidavit was sufficient to establish, prima facie, that defendant had fully paid the claims in accordance with the fee schedule.
The WVSMA's physician practice education program concluded the year by hosting the nationally recognized Certified Medical Coder (CMC) class.
To do so, each of five hospitals in the pilot created an Obstetrics Event Response Team that consisted of an obstetrician, a neonatologist, an obstetrics nurse manager, a risk manager, and a medical coder.
Davis lives in Ocean Springs and works full-time as a medical coder at Keesler Air Force Base's Medical Center in Biloxi.
Vincent Hospital in Worcester for the past 2 years as a medical coder. She was a member of St.
"With the two best recognized licensing organizations offering CEU credit, which medical coder members are required to obtain on a yearly basis in order to maintain their certifications, this is an acknowledgement that CODESMART UNIVERSITY may be considered the "Gold Standard" of ICD-10 education," said Ira Shapiro, Chairman and CEO of Codesmart.
From what differentiates a medical coder from a biller to how to break into the industry and succeed, this covers everything from initial idea to successful job and working with the claim process in an office environment, and is a top pick for any thinking of entering the field.
The text portrays the real world of medical coding by illustrating all types of medical records within a medical practice, providing instruction on the selection of information that is codeable from the documentation, and highlighting the role of the medical coder in the entire reimbursement process.
Co-authors Donna Avila-Weil, RHIT and Rhonda Regan, CCS, CCS-P combine their expertise in the updated second edition of Independent Medical Coding: The Comprehensive Guidebook for Career Success as a Medical Coder. Independent Medical Coding is an in-depth guide to pursuing medical coding as a career--an excellent opportunity, given that demand for skilled medical coders currently outstrips supply.

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