Medical Coder I or Medical Coder II

Status:

Full Time/Non- Exempt Reports to: Health Information Manager A. Purpose and Scope of Position Responsible for reviewing and interpreting medical records, documents, and other patient data to assign appropriate codes for Critical Access Hospital and Provider Based Clinic accounts. These codes are used for insurance reimbursement, statistical purposes, and maintaining accurate patient records. Medical coders work closely with healthcare providers, insurance companies, and billing departments. B. Organizational Relationship This position reports to the Health Information and Technology Manager. This position may provide additional support to other departments as requested. This position may provide support to the public, vendors, and regulatory agencies. Essential Job Duties/Responsibilities Assign appropriate diagnosis and/or procedure codes using the current coding systems such ICD-10), and HCPCS codes to categorize medical diagnoses, procedures, and services accurately. Appropriately apply Medicare

NCCI, LCD, NCD

rules. Follow all legal, ethical, and regulatory standards regarding coding, ensuring compliance with HIPAA. Ensure that documentation provided by healthcare providers supports the codes assigned. Communicate with medical staff to clarify ambiguous or incomplete records. Monitor and maintain accuracy in coding practices, keeping up to date with any changes in coding systems and healthcare regulations. Maintain departmental productivity standards. Participate in audits to ensure accurate coding practices and resolve discrepancies in medical records. Act as a resource/mentor to staff by providing assistance with resolving problems and responding to questions. Performs other duties as assigned or needed to meet the needs of the department/organization Required Qualifications High school diploma or equivalent. AAPC Certification CPC 3+ years of relevant coding experience Preferred Qualifications Associate's degree in health-related field

AHIMA Certification:

CCA, CCS, RHIT, RHIA

Special Requirements Must be able to reason independently and work with minimal guidance. Must be able to interpret data and make sound judgments based on those interpretations. Must deal effectively with a wide variety of personalities and situations requiring tact, judgment, and poise. Must be able to adapt to quickly changing priorities and schedules. Must be able to maintain good working relationships with all co-workers and the general public ad use good judgment in recognizing scope and authority. 5. Working Conditions Prolonged periods of sitting/standing at a desk and working on a computer Four 10-hour shifts or five 8-hour shifts, Monday-Friday Mountain Standard Time Onsite, hybrid, fully remote