CODER

Description

Essentials Job Functions

General - Under the general direction of the Regional VP of Operations, the Medical Coder is to apply the appropriate diagnostic and procedural codes, abstracting information, to individual patient health information for data retrieval, analysis and claims processing. Provides exemplary service to ensure success in a rapidly changing healthcare environment.

Specific -

Abstracts pertinent information from patient records.  Assigns ICD-10-CM codes, CPT and DRG assignments and appropriate modifiers, as needed. Queries physicians when code assignments are not straightforward or documentation is inadequate, ambiguous, or unclear for coding purposes.

Effectively communicates with Administration, Case Managers, HIM staff and physicians related to coding status on patients on pre-admission, admission, concurrent, and retrospective status. Keeps abreast of coding guidelines and reimbursement reporting requirements. Brings identified concerns to supervisor for resolution. Verifies and ensures the accuracy, completeness, specificity and appropriateness of diagnosis codes based on patient’s history, physical and services rendered. Serves as a resource to internal and external customers regarding coding/HIM issues.

Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association and adheres to official coding guidelines. Professional demeanor and appearance, strong work ethic, reliable, resourceful, enthusiastic, team player with positive attitude. Supports and participates in process and quality improvement initiatives. Some travel may be required; must have reliable transportation/valid driver’s license.

Qualifications

Education and Experience

Minimum of three years Coding Experience and one year of General Surgery. High school diploma or equivalent required. Minimum of successful completion of a coding certificate program in a program with AHIMA approval status, RHIA, RHIT, CCS and CCS-P, CPC certification status preferred from the American Health Information Management Association.  Prefer someone with work experience as a coder or strong training background in coding and reimbursement. One to three years coding experience, preferably in a hospital or ASC environment. Knowledge and experience in health care environment/managed care preferred. Strong knowledge of Microsoft Office XP products (Word, Excel, Access). Strong written and verbal communication skills; strong analytical, organizational and time management skills required. Must have working knowledge of Encoder Software.

Salary : $28 - $35