The Coder Credentialed accurately codes and abstracts medical information for billing and statistical purposes, and entering the information into a computerized database. Working independently under general supervision, this role ensures timely coding and completion of patient accounts to meet established department standards and/or goals.

Essential Job Function:

Maintains timely coding and completion of patient accounts to meet established department and regulatory standards and goals. Maintains accuracy in accordance with department and regulatory standards. Monitors uncoded accounts and performing other workflow processes to ensure optimal revenue cycle performance. Interacts with clinical staff and providers to improve documentation in order to accurately reflect severity of illness and appropriately support medical necessity and claims submission. Completes all mandated education prior to deadline. Collaborates with other team members to assist in the continuing education of the coding profession and ensure optimal performance. Performs other duties as assigned.

Education:

Required:

High School Diploma or equivalent.

Experience:

Required:

3 years

Licensure/Certification/Listing:

Required:

American Health Information Management Association (AHIMA)

• Registered Health Information Administrator (RHIA), or Registered Health Information Technician (RHIT), or Certified Coding Specialist (CCS) or Certified Coding Specialist
• Physician's based (CCS-P) OR from the American Academy of Professional Coders (AAPC)
• Certified Profession Coder (CPC), or Certified Outpatient Coder (COC), or Certified Inpatient Coder (CIC).