Medical Coder - EM/IPDRG

Job Summary:

Medical Coder is responsible for ensuring high-quality coding that complies with US healthcare guidelines (CPT, ICD-10-CM, HCPCS). The coder will collaborate closely with quality assurance and operations teams to drive performance, productivity, and process improvements, supporting the achievement of client and organizational goals.

Key Responsibilities:

✅ Conduct regular audits of coded charts and provide constructive feedback for improvement.

✅ Identify process gaps and implement corrective actions to improve accuracy and compliance.

✅ Provide ongoing coaching, mentoring, and performance reviews for coders.

✅ Support new coders through onboarding and training, ensuring they meet performance standards.

✅ Develop and deliver training sessions on coding updates, client-specific requirements, and best practices.

✅ Collaborate with Quality and Operations teams to develop process improvement initiatives.

✅ Monitor coding productivity and quality metrics, ensuring SLA adherence.

✅ Serve as a subject matter expert (SME) for coding guidelines and payer-specific requirements.

✅ Stay up to date with coding and billing updates (CPT, ICD-10-CM, HCPCS, NCCI edits, etc.).

✅ Document and escalate compliance risks or trends observed in coding practices.

✅ Prepare and present reports on team performance and process improvements to management.

Qualifications:

Education:

Certifications:

Experience:

• Minimum 3-5 years of experience in medical coding for US healthcare (facility/professional coding).
• At least 1-2 years of experience as a team lead, coach, or trainer in coding.
• Strong understanding of coding guidelines, medical terminology, anatomy, and reimbursement methodologies.

Key Skills:

✔️ Strong coaching and leadership abilities.

✔️ Excellent communication and interpersonal skills.

✔️ Proficient in coding software, EMR/EHR systems, and MS Office Suite.

✔️ Analytical and problem-solving skills with attention to detail.

✔️ Ability to manage multiple tasks and priorities effectively.