Coder

Under supervision, the coder is responsible for correct and timely coding of all medical records utilizing appropriate systems.    

Schedule: This is a per diem position requiring work on an as-needed basis.  

Responsibilities:  

• Analyze patient records for documented support of discharge diagnoses

• Notifies and follows through with missing documentation to support discharge diagnoses
• Creates appropriate and timely physician queries to clarify diagnosis ambiguities
• Enters diagnostic and procedure codes based on medical record documentation.  Applies all codes according to established coding guidelines with an accuracy rate equal to or greater than 95%
• Assembles, analyzes and codes IOP/PHP charts
• Corrects and notifies appropriate departments regarding any material coding changes from reviews and/or audits
• Locates, reviews and scans charts for coding audits
• Runs missing chart report and notifies appropriate personnel. Follows through and investigates missing charts
• Performs final check for quantitative analysis
• Abstracts data from patient charts for quality and quantitative audits
• Manages daily workload and consistently finishes on a daily basis.  Keeps up with workload during high census periods, and participates in special projects during low census periods
• Assists with departmental necessities at the request of the director or CFO.  This may include following up with providers, following up on ROI, and communications with the courts.
• Performs related duties, as requested.
• Upholds the organization's ethics and customer service standards 
• Performs other departmental duties, as requested

• High School degree or equivalent.
• Associate Degree specifically in HIT/M preferred.
• Must possess a deep knowledge and understanding of psychiatric medical terminology, anatomy and physiology, pathophysiology and pharmacology. 

• 1 year of coding experience and/or behavioral health experience preferred

• CCS, CPC, RHIA and/or RHIT; must be 21 years of age; have a current negative TB test or medical clearance.