Clinical Coder

Encodes all relevant current and documented diagnoses and procedures as performed by attending physicians utilizing the appropriate International Classification of Diseases (ICD) coding. Creates an abstract of all demographics, statistical, and medical information from each patient record and enters the data into the coding abstracting system. Understands Health Insurance Policy Terms, Coverage, Exclusion, and Approval requirements as per the contractual and regulatory obligations. Reviews electronic statements for all prescribed diagnostics and pharmacy items along with procedures and complications as documented in the Electronic Medical Record (EMR) and claim form operative reports. Assigns appropriate codes and sends a request to the physician wherever required. Ensures documentation is completed and specific for coding to the highest specificity severity. Applies the appropriate guidelines for the assignment of principal and secondary procedures utilizing the CPT‑4 procedure ...