Clinical Coding Coordinator Job Description [Updated for 2024]

clinical coding coordinator job description

In the ever-evolving healthcare industry, the demand for Clinical Coding Coordinators has never been higher.

As healthcare data becomes increasingly digitized, the need for competent professionals who can interpret, analyze, and safeguard this critical information continues to grow.

But let’s delve deeper: What’s really expected from a Clinical Coding Coordinator?

Whether you are:

  • A job seeker attempting to understand the core responsibilities of this role,
  • A hiring manager creating the profile of the perfect candidate,
  • Or simply curious about the intricacies of clinical coding,

You’re in the right place.

Today, we present a customizable Clinical Coding Coordinator job description template, designed for effortless posting on job boards or career sites.

Let’s dive right into it.

Clinical Coding Coordinator Duties and Responsibilities

Clinical Coding Coordinators are responsible for managing the coding of patient medical records for the purpose of billing and insurance claims.

They ensure that the assigned codes meet the required health information standards and legal requirements.

The following are the main duties and responsibilities of a Clinical Coding Coordinator:

  • Review patient medical records to identify diagnoses and procedures performed
  • Assign appropriate medical codes to all diagnoses and services
  • Ensure codes are assigned accurately to support reimbursement requirements and compliance with regulatory requirements
  • Interact with physicians and other healthcare providers to clarify coding information or to obtain additional information
  • Assist in training and supporting coding staff
  • Monitor and analyze coding performance of the coding team
  • Ensure coding complies with established coding standards and conventions
  • Stay up-to-date with latest updates in medical coding rules and guidelines
  • Maintain strict patient confidentiality as per HIPAA regulations
  • Work closely with billing department to resolve any coding related issues

 

Clinical Coding Coordinator Job Description Template

Job Brief

We are seeking a meticulous and dedicated Clinical Coding Coordinator to ensure that all clinical coding is carried out in accordance with established protocols and industry standards.

The Clinical Coding Coordinator will be responsible for analyzing clinical statements and assigning standard codes using a classification system.

The successful candidate should be detail-oriented, have a strong understanding of medical terminology, anatomy and physiology and be familiar with ICD-10-CM and CPT coding systems.

 

Responsibilities

  • Review and analyze medical records and patient data for accurate coding and billing.
  • Assign and sequence all codes for services rendered.
  • Collaborate with billing department to ensure all bills are satisfied in a timely manner.
  • Communicate with medical staff for clarification and documentation of patient data.
  • Maintain compliance with federal and state regulations regarding medical coding and billing.
  • Participate in coding team meetings for continual training and development.
  • Perform regular audits to ensure coding accuracy and quality of care.
  • Prepare and present reports on coding activities and discrepancies.

 

Qualifications

  • Proven work experience as a Clinical Coding Coordinator or similar role in healthcare.
  • Strong knowledge of medical terminology, anatomy and physiology.
  • Experience with ICD-10-CM and CPT coding systems.
  • Excellent analytical and problem-solving abilities.
  • Strong attention to detail and accuracy.
  • Good communication and interpersonal skills.
  • Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) certification is required.
  • Associate’s or Bachelor’s degree in Health Information Management or related field is preferred.

 

Benefits

  • 401(k)
  • Health insurance
  • Dental insurance
  • Retirement plan
  • Paid time off
  • Professional development opportunities

 

Additional Information

  • Job Title: Clinical Coding Coordinator
  • Work Environment: Hospital or health care facility setting. May require occasional travel for training and development purposes.
  • Reporting Structure: Reports to the Medical Coding Manager or Health Information Management Director.
  • Salary: Salary is based upon candidate experience and qualifications, as well as market and business considerations.
  • Pay Range: $45,000 minimum to $65,000 maximum
  • Location: [City, State] (specify the location or indicate if remote)
  • Employment Type: Full-time
  • Equal Opportunity Statement: We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.
  • Application Instructions: Please submit your resume and a cover letter outlining your qualifications and experience to [email address or application portal].

 

What Does a Clinical Coding Coordinator Do?

Clinical Coding Coordinators work in healthcare settings such as hospitals, clinics, and health insurance companies.

Their primary role is managing patient medical records and coding these records for billing and insurance purposes.

They are responsible for assigning standardized codes to each medical diagnosis and treatment, using the International Classification of Diseases (ICD) and Current Procedural Terminology (CPT) systems.

These codes are crucial in processing insurance claims and conducting health-related research.

Clinical Coding Coordinators also ensure that all coding and billing is accurate and compliant with federal and state regulations.

This involves auditing patient records, identifying any inaccuracies or discrepancies, and making the necessary corrections.

They often work closely with other healthcare professionals, including physicians, nurses, and medical billers, to clarify any uncertainties in patient health records.

Moreover, Clinical Coding Coordinators may also conduct training sessions for coding staff, provide coding consultations for medical professionals, and stay updated on the latest changes in coding standards and regulations.

They play a key role in the healthcare system by ensuring accurate record-keeping and facilitating smooth billing procedures.

 

Clinical Coding Coordinator Qualifications and Skills

A qualified Clinical Coding Coordinator should possess the following skills and qualifications:

  • Proficiency in medical terminology, anatomy and physiology to translate diagnoses and procedures into appropriate codes for medical records and billing.
  • Excellent attention to detail and accuracy skills for ensuring the correctness and consistency of medical coding.
  • Strong understanding of healthcare privacy and confidentiality laws, particularly the Health Insurance Portability and Accountability Act (HIPAA), to protect patient information.
  • Superior organizational skills for managing a multitude of medical records and juggling multiple tasks.
  • Exceptional communication skills for discussing coding and billing issues with healthcare professionals and administrative staff.
  • Problem-solving skills for identifying and correcting coding errors and inconsistencies.
  • Familiarity with coding software and electronic health record (EHR) systems.
  • Ability to work under pressure and meet deadlines in a fast-paced environment.
  • Continued learning and development to stay up to date with changes in medical coding practices and regulations.

 

Clinical Coding Coordinator Experience Requirements

Entry-level clinical coding coordinators may have 1 to 2 years of experience, usually gained through an internship or part-time role in a healthcare setting.

During this period, they acquire knowledge and skills in medical coding and billing, health information technology, and healthcare compliance and regulations.

Candidates with 2 to 3 years of experience often develop their expertise in a clinical coding role within a healthcare institution.

They may be proficient in using medical coding systems such as ICD-10, CPT, and HCPCS and have a solid understanding of medical terminology, anatomy, and physiology.

Those with more than 5 years of experience usually have advanced coding knowledge and skills, and they may have taken on additional responsibilities such as auditing, training junior coders, or coordinating with other departments in the healthcare institution.

At this level, they may also hold professional certification such as Certified Coding Specialist (CCS) or Certified Professional Coder (CPC).

Clinical coding coordinators with significant experience and leadership skills may be ready for a managerial role or a position overseeing a team of clinical coders.

They may also have experience in implementing coding policies, ensuring compliance with regulations, and improving coding accuracy and efficiency.

 

Clinical Coding Coordinator Education and Training Requirements

Clinical Coding Coordinators usually require a bachelor’s degree in Health Information Management or a related field.

They need to have a solid foundation in medical terminology, anatomy, and physiology, along with proficiency in ICD-10-CM and CPT coding systems.

In addition, some positions may require Clinical Coding Coordinators to have a Registered Health Information Technician (RHIT) or a Certified Coding Specialist (CCS) certification, which demonstrates a comprehensive understanding of coding rules and regulations.

Depending on the specifics of the role and the complexity of the coding, a master’s degree in Health Information Management or a related field may be preferred.

Additionally, Clinical Coding Coordinators are expected to engage in ongoing professional development to stay current with changes in medical coding practices and healthcare laws and regulations.

They may also benefit from having experience in a clinical setting, as this can enhance their understanding of medical procedures and terminology.

 

Clinical Coding Coordinator Salary Expectations

A Clinical Coding Coordinator can expect to earn an average salary of $58,520 (USD) per year.

The actual salary may vary based on factors such as years of experience, certifications, the size and type of the healthcare facility, and the geographical location.

 

Clinical Coding Coordinator Job Description FAQs

What skills does a Clinical Coding Coordinator need?

A Clinical Coding Coordinator needs to have excellent analytical skills to accurately interpret clinical data and convert it into appropriate codes.

They also require strong attention to detail to ensure accurate coding and record-keeping.

Their role also demands good computer skills and a thorough knowledge of medical terminology, anatomy, and physiology.

Moreover, they need to have good communication skills to liaise with doctors and other medical staff as needed.

 

Do Clinical Coding Coordinators need a degree?

While some Clinical Coding Coordinators may have a degree in health information management or a related field, it is not always a requirement.

Most importantly, they must have a certification from a recognized coding program like the Certified Coding Specialist (CCS) or Certified Professional Coder (CPC).

Some positions may also require relevant work experience in the medical coding field.

 

What should you look for in a Clinical Coding Coordinator resume?

A Clinical Coding Coordinator’s resume should clearly indicate their certification and any relevant experience in medical coding.

It’s also beneficial to look for a strong knowledge of medical terminology and familiarity with coding software and electronic health records.

Additional qualities to look for can include strong communication skills, attention to detail, and organizational abilities.

 

What qualities make a good Clinical Coding Coordinator?

A good Clinical Coding Coordinator is detail-oriented, meticulous, and precise, as accuracy is critical in this role.

They also need to be good communicators to effectively liaise with healthcare professionals and insurance companies.

Moreover, they should be able to work under pressure, meet deadlines, and handle multiple tasks.

They should also be discreet and respect patient confidentiality.

 

What are the daily duties of a Clinical Coding Coordinator?

A Clinical Coding Coordinator typically starts their day by reviewing patient medical records.

They use their expertise to accurately code diagnoses and procedures for reimbursement by insurance companies and assist with quality assurance.

They also liaison with healthcare professionals to clarify or obtain additional information.

Throughout their day, they ensure all records are coded in a timely manner and meet the compliance standards of healthcare and insurance regulations.

 

Conclusion

And there we have it.

Today, we’ve delved into the very core of what it means to be a Clinical Coding Coordinator.

Surprise, surprise?

It’s not just about interpreting medical reports.

It’s about shaping the health care services, one medical code at a time.

Armed with our trusty Clinical Coding Coordinator job description template and real-life examples, you’re ready to take the next step.

But why draw the line there?

Venture further with our job description generator. It’s your ultimate tool for creating razor-sharp job listings or refining your resume to brilliance.

Remember:

Every medical code is a part of the bigger healthcare picture.

Let’s improve that future. Together.

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