A medical coder plays a vital role in the healthcare revenue cycle by translating clinical documentation into standardized codes used for billing, insurance claims, and data analysis. This professional ensures that healthcare providers are accurately reimbursed for services while maintaining compliance with regulatory standards. Converts physician notes, lab results, and treatment records into ICD-10, CPT, and HCPCS codes. Reviews medical documentation to verify that codes reflect the services provided and meet payer requirements. Adheres to HIPAA regulations and payer-specific coding rules to avoid audits, denials, and penalties. Works with physicians and healthcare teams to clarify documentation and ensure medical necessity is properly captured.
