Medical Coder

Job Title: Medical Coder
Location: Greater Baltimore Area
Type/Duration: Contract, 13 weeks – possible extensions
Pay: DOE and Unit
We are currently staffing for Medical Coders across several Hospital locations and units. This is a Generic Post for Personnel, who would be working in a Hospital setting in the greater Baltimore  area. Specifics on Pay, Location, Unit, and Hours would be provided during your interview.

JOB SUMMARY: Following established conventions and guidelines, codes and abstracts the medical records of the diverse population of records within the facility. Meets departmental accuracy and production standards.

• Reviews medical records to determine the providers diagnosis/procedures for unit and assigns ICD-10-CM codes, CPT, and facility E&M levels to those diagnoses/procedures.
• Reviews the entire record for codable information.
• Uses resources (Coding references and guidelines, Coding Clinics, Auditors, CDI staff, Co-workers, internet, etc.) for guidance on coding as needed.
• Reviews the entire medical record for codeable information.
• Writes queries as appropriate and adheres to the query policy. Follows-up on queries and updates coding and the query as appropriate and in a timely manner.
• Abstracts predetermined information from medical records and enters that information on to the medical record abstract.
• Enters appropriate information on the abstract as determined by departmental policy and procedures.
• Completes and releases to billing abstracts that are ready to be billed.
• Reviews unit records and calculates and abstracts (enters) nursing care time levels.
• On observation and inpatient encounters admitted through the unit, calculates and abstracts the nursing care time level prior to the patient's discharge.
• Assures that co-workers and management are well informed and adequately prepared by communicating information relevant to the coding area or department.
• Prepares and submits a properly completed management production report to the Supervisor and/or Manager weekly and notifies the manager of problems that impact efforts to perform the job.
• Notifies admitting of registration errors.
• Ensures turn-around time and work due dates and thresholds are met by working the daily reports of uncoded cases and keeping work queues up to date.
• Participates in departmental meetings, in services and as requested peer interviews and assists with training of new employees and students as requested.
• Communicates charge concerns to Finance and HIM management.
• Ensures that emails, audits, queries and reports are processed timely.
• Works various reports to identify encounters to code.

MINIMUM REQUIREMENTS:

• Must be able to complete any additional credentialing as required by the unit/facility,.
• Formal working knowledge equivalent to an Associate's degree (2 years college) in HIM, HIT or related field
• Experience with Medical Coding.
• CCS, CCS-P, COC, CPC, RHIT, or RHIA required.
• High accuracy and attention to detail.
• Strong time-management and organizational skills

Level One Personnel is an equal opportunity and affirmative action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, protected veteran status or other status protected by law.