Medical Coders work at hospitals, clinics and other healthcare settings to facilitate communication with insurance companies. They spend most of their time interpreting patient files and manually updating them with medical codes. When assigning a code to a patient’s file, Medical Coders use established systems that make it easy for insurers to recognize what kinds of treatment they cover under a patient’s plan. Medical Coders also gather documentation to validate their coding choices and argue against any wrongfully denied claims. They analyze all parts of a patient’s visit, including diagnostic tests, consultations, in-office procedures and prescribed medication.
Was macht ein Medical Coder?
A Medical Coder, or Certified Professional Coder, is responsible for reviewing a patient’s medical records after a visit and translating the information into codes that insurers use to process claims from patients. Their duties include confirming treatments with medical staff, identifying missing information and submitting forms to insurers for reimbursement.
Aufgaben
Ein Medical Coder sollte in der Lage sein, verschiedene Aufgaben und Verantwortlichkeiten zu erfüllen. Im Folgenden sind einige Aufgaben und Verantwortlichkeiten aufgeführt, die ein Medical Coder ausführen können sollte:
Making sure that codes are assigned correctly and sequenced appropriately as per government and insurance regulations
Complying with medical coding guidelines and policies
Receiving and reviewing patients’ charts and documents for verification and accuracy
Following up and clarifying any information that is not clear to other staff members
Collecting information made by the Physician from different sources to prepare monthly reports
Implementing strategic procedures and choosing strategies and evaluation methods that provide correct results
Benötigte Fähigkeiten
Ein wettbewerbsfähiger Medical Coder verfügt über bestimmte Fähigkeiten und Qualifikationen, darunter:
A strong understanding of physiology, medical terms and anatomy
Proficiency in computer skills including typing speed and accuracy
Mathematics skills
Excellent written and verbal communication skills
Organizational skills
Ability to maintain a high level of integrity and confidentiality of medical information
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