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Medical Coder

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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.
Cosa fa un 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.
Responsabilità
Un Medical Coder dovrebbe essere in grado di svolgere vari doveri e responsabilità. Di seguito sono riportati alcuni doveri e responsabilità che un Medical Coder dovrebbe essere in grado di eseguire:
  • 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
Competenze richieste
Un Medical Coder competitivo avrà determinate competenze e qualifiche, tra cui:
  • 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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