Coder Level IV - HIM

GENERAL SUMMARY: 

Under the general supervision of the Manager, HIM (Coding) and following established hospital and Department policies and procedures, a Coder Level IV is primarily responsible for coding and abstracting all inpatient discharges.  During periods of staffing shortages or backlog in areas other than inpatient coding, a Coder Level IV may be assigned any of the following areas of outpatient coding by the Manager, HIM (Coding): Cardiovascular/Invasive Radiology Ambulatory  Surgery/Procedure, non-cardiovascular/interventional radiology Ambulatory Surgery/Procedure, Observation (both Cardiovascular/Invasive Radiology and Medical), Emergency Care Center/Fast Track (technical and/or professional components), Ancillary/Clinic/OB-GYN/Medical Necessity or SNF accounts.

QUALIFICATIONS:  

Education/Skills Required:
1.    High School Diploma required.
2.    Successful completion of medical terminology, anatomy and physiology classes.
3.    Working knowledge of ICD-10CM and CPT coding guidelines and conventions.
4.    Understanding of Medical Necessity for Medicare targeted tests.
5.    CCS, CCS-P, RHIT or RHIA credential.
6.    A minimum of one year of experience coding inpatient accounts in an acute care setting; PLUS
A minimum of three years experience coding Cardiovascular/Interventional Radiology/Vascular  Ambulatory Surgery/Procedure/Observation, Medical or General Surgery Observation, General Ambulatory Surgery/Procedure (not cardiovascular/interventional radiology/vascular), Emergency Care Center/Fast Track (technical and professional components), Ancillary Services, Clinics, OB-GYN, Medical Necessity and SNF accounts.    
7.    Ability to achieve and maintain a 93% accuracy level while meeting AHIMA productivity benchmarks for assigned primary coding duties
8.    Other duties as assigned by the Coding Manager.
9.    Work requires a high degree of interpersonal skills to interact with the Medical Staff, co-workers and staff from other departments.

As applicable, the individual has training/competency in attending to the special needs and/or behaviors appropriate to the age of the patients for which care is being provided.