CERTIFIED CODER

Job Title:

Certified Coder Department:

Health Information Management Reports To:

Director of Health Information Management FLSA:

Non-Exempt

JOB SUMMARY

As a Medical Coder, you will play a crucial role by analyzing patient records to adhere to internal policies and processes that are consistent with coding guidelines and reimbursement policies. Coder's purpose is to help to improve the accuracy, integrity and quality of patient data, ensure minimal variation in coding practices, and improve the quality of the physician documentation within the body of the medical record to support code assignments.

ESSENTIAL FUNCTIONS

Reviews medical record thoroughly to ensure charges, diagnoses/procedures and appropriate modifiers are on accounts. Abstracting documentation within the record into 3M Coding Software. Query appropriate physician on incomplete, missing or vague documentation. Codes all diagnoses/procedures in accordance to ICD-10-CM, ICD-10-PCS and CPT coding guidelines and payer contracts. Assists the director with state requirements and reports. Responsible for Chargemaster maintenance Works coding issues and denials sent back from billing Must posses the ability to multi task and maintain accuracy and coding productivity standards. Back-up for transcription

QUALIFICATIONS

Minimum Education High School or equivalent Associates degree in Health Information Technology preferred. RHIT or coding certification through AHIMA or AAPC Minimum Experience Three years coding experience preferred Knowledge of CPSI / Trubridge and RCM preferred

Proficiency:

Inpatient, obstetrics, ancillary coding Infusion and injection coding E/M Coding for Emergency Room professional/facility and Hospital Rounds Ability to work seamlessly between multiple different applications and programs This job description is not intended as an all-inclusive list of responsibilities that may be assigned and is subject to change based on the needs of the organization.