6 Medical Bill Coder Job Description Templates and Examples | Himalayas

6 Medical Bill Coder Job Description Templates and Examples

Medical Bill Coders are responsible for translating healthcare services into standardized codes used for billing and insurance purposes. They ensure accurate and efficient processing of medical claims by reviewing patient records, assigning appropriate codes, and working with healthcare providers to resolve discrepancies. Junior coders focus on learning coding systems and handling simpler cases, while senior coders and managers oversee complex coding tasks, ensure compliance with regulations, and lead teams.

1. Junior Medical Bill Coder Job Description Template

Company Overview

[$COMPANY_OVERVIEW]

Role Overview

We are seeking a detail-oriented Junior Medical Bill Coder to join our dynamic team at [$COMPANY_NAME]. In this role, you will play a crucial part in the medical billing process, ensuring accuracy in the coding of patient records while adhering to industry standards and regulations. You will collaborate closely with healthcare professionals and administrative staff to support efficient billing operations.

Responsibilities

  • Review and analyze patient medical records to assign accurate ICD-10, CPT, and HCPCS codes for billing purposes
  • Ensure compliance with all relevant coding guidelines, regulations, and payer-specific requirements
  • Communicate effectively with healthcare providers to clarify documentation and coding discrepancies
  • Assist in the resolution of billing issues and denials by providing necessary coding information
  • Stay current with coding updates, changes in regulations, and best practices in medical coding
  • Support the team in maintaining accurate coding databases and documentation

Required and Preferred Qualifications

Required:

  • Completion of a medical coding program or equivalent training
  • Basic understanding of medical terminology, anatomy, and physiology
  • Familiarity with coding software and electronic health record (EHR) systems
  • Strong attention to detail and accuracy in coding
  • Ability to work collaboratively in a team-oriented environment

Preferred:

  • Certification as a Certified Coding Associate (CCA), Certified Professional Coder (CPC), or equivalent
  • Prior experience in medical billing or coding internship

Technical Skills and Relevant Technologies

  • Proficiency in medical coding software and EHR systems
  • Understanding of billing procedures and healthcare reimbursement processes
  • Ability to utilize coding manuals and online resources effectively

Soft Skills and Cultural Fit

  • Excellent verbal and written communication skills
  • Strong analytical and problem-solving abilities
  • Ability to manage time effectively and prioritize tasks
  • Commitment to continuous learning and professional development

Benefits and Perks

Annual salary range: [$SALARY_RANGE]

Additional benefits may include:

  • Health, dental, and vision insurance
  • Retirement savings plan with company match
  • Paid time off and flexible scheduling
  • Opportunities for professional development and certification reimbursement

Location

This is a hybrid position requiring in-office work at least 3 days a week at our location in [$COMPANY_LOCATION].

2. Medical Bill Coder Job Description Template

Company Overview

[$COMPANY_OVERVIEW]

Role Overview

We are seeking a detail-oriented Medical Bill Coder to join our team at [$COMPANY_NAME]. In this pivotal role, you will be responsible for accurately coding medical diagnoses and procedures, ensuring compliance with healthcare regulations and facilitating efficient billing processes. Your expertise will play a crucial role in optimizing revenue cycle management and enhancing patient care.

Responsibilities

  • Review medical records and documentation to assign accurate codes for diagnoses, procedures, and services rendered
  • Ensure compliance with current coding guidelines, payer policies, and governmental regulations
  • Collaborate with healthcare providers and administrative staff to clarify documentation and coding discrepancies
  • Conduct regular audits of coded claims to ensure accuracy and identify training opportunities
  • Stay updated on coding updates and changes in regulations, ensuring continuous professional development
  • Utilize coding software and electronic health record (EHR) systems to maintain organized and accurate coding databases

Required and Preferred Qualifications

Required:

  • Certification as a Medical Coder (CPC, CCS, or equivalent)
  • 2+ years of experience in medical coding within a healthcare setting
  • Strong knowledge of ICD-10, CPT, and HCPCS coding systems
  • Excellent attention to detail and accuracy in coding

Preferred:

  • Experience with electronic health record (EHR) systems and coding software
  • Familiarity with medical billing processes and revenue cycle management
  • Strong analytical skills and the ability to interpret complex medical information

Technical Skills and Relevant Technologies

  • Proficient in medical coding software and tools
  • Understanding of medical terminology and healthcare regulations
  • Experience with data entry and management in electronic health records

Soft Skills and Cultural Fit

  • Strong communication skills, both verbal and written
  • Ability to work collaboratively in a team-oriented environment
  • High level of professionalism and integrity when handling sensitive patient information
  • Adaptability to changing regulations and coding standards

Benefits and Perks

Annual salary range: [$SALARY_RANGE]

Additional benefits may include:

  • Health, dental, and vision insurance
  • Retirement plan with company match
  • Paid time off and holidays
  • Professional development opportunities

Location

This role requires successful candidates to work in a hybrid capacity, splitting time between the office located in [$COMPANY_LOCATION] and remote work.

3. Senior Medical Bill Coder Job Description Template

Company Overview

[$COMPANY_OVERVIEW]

Role Overview

We are seeking a highly skilled Senior Medical Bill Coder to join our dynamic team. In this role, you will leverage your expertise in coding and billing to ensure accurate claims submission and reimbursement for our healthcare services. Your contributions will play a vital role in optimizing revenue cycles while maintaining compliance with industry standards.

Responsibilities

  • Review and analyze clinical documentation to assign appropriate codes for diagnoses, procedures, and services rendered in accordance with ICD-10, CPT, and HCPCS coding guidelines.
  • Ensure accurate and timely submission of claims to payers, addressing denials and coordinating with providers to resolve discrepancies.
  • Conduct audits and coding reviews to ensure compliance with federal and state regulations, as well as organizational policies.
  • Provide training and mentorship to junior coders, fostering a culture of continuous improvement in coding practices.
  • Collaborate with clinical and administrative staff to improve documentation practices and coding accuracy.
  • Stay current on coding updates and changes in regulations, ensuring the organization adheres to best practices.

Required and Preferred Qualifications

Required:

  • 5+ years of experience in medical coding, with a focus on inpatient and outpatient coding.
  • Certification from a recognized organization such as AAPC or AHIMA (CPC, CCS, CCA, etc.).
  • Strong knowledge of medical terminology, anatomy, and physiology.
  • Demonstrated proficiency in coding software and electronic health record (EHR) systems.

Preferred:

  • Experience with specialized coding for surgical procedures or high-complexity cases.
  • Proven track record of improving coding accuracy and reducing claim denials.
  • Familiarity with revenue cycle management processes.

Technical Skills and Relevant Technologies

  • Proficient in coding software, EHR systems, and billing software.
  • Familiarity with data analytics tools to assess coding performance metrics.
  • Knowledge of compliance regulations such as HIPAA and Medicare guidelines.

Soft Skills and Cultural Fit

  • Exceptional attention to detail and analytical skills.
  • Strong communication skills, both verbal and written, to interact effectively with healthcare providers and administrative staff.
  • Ability to work independently and manage multiple tasks in a fast-paced environment.
  • Commitment to maintaining confidentiality and upholding ethical standards in all coding practices.

Benefits and Perks

Salary range: [$SALARY_RANGE]

Additional benefits may include:

  • Flexible work hours and remote work options.
  • Comprehensive health, dental, and vision insurance.
  • 401(k) retirement plan with company match.
  • Generous paid time off and holidays.
  • Professional development opportunities and continuing education reimbursement.

Equal Opportunity Statement

[$COMPANY_NAME] is committed to fostering a diverse and inclusive workplace. We are proud to be an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, age, disability, or veteran status, or any other characteristic protected by applicable law.

Location

This is a remote position within [$COMPANY_LOCATION].

4. Lead Medical Bill Coder Job Description Template

Company Overview

[$COMPANY_OVERVIEW]

Role Overview

We are seeking a highly skilled and motivated Lead Medical Bill Coder to join our team. In this role, you will oversee the coding process, ensuring accuracy and compliance with industry standards while leading a team of coders. You will play a critical role in optimizing revenue cycle management and enhancing operational efficiency.

Responsibilities

  • Lead and mentor a team of medical bill coders, fostering a culture of excellence and continuous improvement
  • Review and validate coding accuracy for various medical services and procedures
  • Ensure compliance with HIPAA regulations and coding standards set by CMS and other payers
  • Collaborate with healthcare providers and billing teams to resolve coding discrepancies and improve documentation practices
  • Develop and implement coding policies, procedures, and training programs to enhance team performance
  • Analyze coding data and trends to identify areas for improvement in the revenue cycle
  • Conduct regular audits and provide feedback to team members to maintain coding standards

Required Qualifications

  • 5+ years of experience in medical coding with a focus on various specialties
  • Certification as a CPC (Certified Professional Coder) or equivalent
  • In-depth knowledge of ICD-10, CPT, and HCPCS coding systems
  • Strong analytical skills with the ability to interpret complex medical documentation

Preferred Qualifications

  • Experience in a leadership or supervisory role within a coding department
  • Familiarity with electronic health record (EHR) systems and medical billing software
  • Proven track record of improving coding accuracy and reducing denied claims

Technical Skills and Relevant Technologies

  • Expertise in medical coding software and tools
  • Proficient in Microsoft Office Suite, particularly Excel for data analysis
  • Experience with revenue cycle management systems

Soft Skills and Cultural Fit

  • Exceptional communication skills, both verbal and written
  • Detail-oriented with a strong commitment to accuracy and compliance
  • Ability to work independently and collaboratively in a remote environment
  • Strong problem-solving skills and a proactive approach to challenges

Benefits and Perks

Salary: [$SALARY_RANGE]

Full-time employees are eligible for a comprehensive benefits package which may include:

  • Health, dental, and vision insurance
  • 401(k) retirement plan with company match
  • Generous paid time off policy
  • Professional development and training opportunities
  • Flexible work schedule to support work-life balance

Equal Opportunity Statement

[$COMPANY_NAME] is committed to diversity in its workforce and is proud to be an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, creed, gender, national origin, age, disability, veteran status, or any other basis protected by applicable law.

Location

This is a fully remote position.

5. Medical Coding Supervisor Job Description Template

Company Overview

[$COMPANY_OVERVIEW]

Role Overview

We are seeking a detail-oriented and experienced Medical Coding Supervisor to join our team. In this fully remote role, you will lead a team of medical coders, ensuring accurate coding practices and compliance with healthcare regulations. You will play a pivotal role in enhancing coding accuracy and optimizing workflow processes, while fostering an environment of continuous learning and professional development.

Responsibilities

  • Supervise and mentor a team of medical coders, providing guidance on coding standards, regulations, and best practices
  • Review and audit coding assignments for accuracy and compliance with ICD-10, CPT, and HCPCS coding guidelines
  • Develop and implement training programs to enhance coding skills and knowledge across the team
  • Collaborate with healthcare providers, billing teams, and compliance officers to resolve coding discrepancies and improve processes
  • Maintain up-to-date knowledge of coding changes and industry regulations, ensuring team compliance
  • Utilize coding software and tools to streamline workflows and enhance productivity

Required Qualifications

  • 5+ years of experience in medical coding, with at least 2 years in a supervisory or leadership role
  • Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or equivalent certification required
  • In-depth knowledge of ICD-10, CPT, and HCPCS coding guidelines
  • Strong analytical skills with a keen attention to detail
  • Excellent communication skills, both verbal and written

Preferred Qualifications

  • Experience in a remote work environment
  • Familiarity with electronic health record (EHR) systems and coding software
  • Knowledge of healthcare reimbursement methodologies and billing processes
  • Ability to lead projects and drive initiatives that improve coding accuracy and efficiency

Technical Skills and Relevant Technologies

  • Proficient in medical coding software and EHR systems
  • Strong understanding of healthcare regulations and compliance frameworks
  • Experience with data analysis tools to assess coding performance metrics

Soft Skills and Cultural Fit

  • Demonstrated ability to inspire and motivate a team
  • Strong problem-solving skills with a focus on continuous improvement
  • Adaptability in a fast-paced, changing environment
  • Commitment to fostering a collaborative and supportive team culture

Benefits and Perks

Salary range: [$SALARY_RANGE]

Additional benefits may include:

  • Comprehensive health, dental, and vision insurance
  • 401(k) with company match
  • Generous paid time off and holidays
  • Professional development opportunities
  • Flexible work hours and a remote-first approach

Equal Opportunity Statement

[$COMPANY_NAME] is committed to fostering a diverse and inclusive workplace. We are an Equal Opportunity Employer and welcome applicants from all backgrounds, experiences, and perspectives. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, national origin, age, disability, sexual orientation, gender identity, or any other basis protected by applicable law.

Location

This is a fully remote position.

We encourage applicants who may not meet all qualifications to apply, as we value diverse experiences and perspectives.

6. Medical Coding Manager Job Description Template

Company Overview

[$COMPANY_OVERVIEW]

Role Overview

We are seeking a highly skilled Medical Coding Manager to lead our coding department at [$COMPANY_NAME]. In this pivotal role, you will oversee a team of coders, ensuring accurate and compliant coding practices while optimizing processes to enhance departmental efficiency. Your leadership will drive the accuracy of medical coding and ensure adherence to regulatory standards across all operations.

Responsibilities

  • Lead and manage the medical coding team, fostering a culture of excellence and continuous improvement
  • Ensure compliance with coding guidelines, regulations, and policies while maintaining accuracy and quality standards
  • Conduct regular audits of coding practices, providing feedback and training to staff as necessary
  • Develop and implement coding policies, procedures, and best practices to enhance operational efficiency
  • Collaborate with clinical staff to ensure seamless communication regarding coding requirements and documentation
  • Stay current with changes in coding regulations and procedures, providing updates to the team and organization
  • Analyze coding metrics and report on departmental performance to executive leadership

Required and Preferred Qualifications

Required:

  • Bachelor's degree in Health Information Management, Nursing, or a related field
  • 5+ years of experience in medical coding, with at least 2 years in a managerial or supervisory role
  • Certification as a Certified Professional Coder (CPC) or Certified Coding Specialist (CCS)
  • In-depth knowledge of ICD-10, CPT, and HCPCS coding systems
  • Proven ability to lead a team, manage performance, and drive results

Preferred:

  • Experience with electronic health record (EHR) systems and coding software
  • Strong analytical skills and experience in performance metrics analysis
  • Familiarity with risk adjustment coding methodologies

Technical Skills and Relevant Technologies

  • Proficiency in medical coding software and EHR systems
  • Strong understanding of healthcare regulations and compliance requirements
  • Experience with data analysis tools for metrics reporting

Soft Skills and Cultural Fit

  • Exceptional leadership and team management skills
  • Strong communication and interpersonal skills, with an ability to motivate and mentor staff
  • Detail-oriented with a commitment to accuracy and compliance
  • Ability to thrive in a fast-paced, dynamic environment
  • Proactive problem-solving skills and a collaborative mindset

Benefits and Perks

Salary: [$SALARY_RANGE]

We offer a comprehensive benefits package that includes:

  • Health, dental, and vision insurance
  • Retirement plan with company matching
  • Paid time off and holidays
  • Professional development opportunities
  • Support for work-life balance initiatives

Equal Opportunity Statement

[$COMPANY_NAME] is committed to creating a diverse environment and is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, national origin, disability, or veteran status. We encourage all candidates, including those with diverse backgrounds and experiences, to apply.

Location

This role requires successful candidates to be based in-person at our facility located in [$COMPANY_LOCATION].

We encourage applicants from all backgrounds and experiences to apply, even if they do not meet all the qualifications listed.

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