Coder - Certified

PURPOSE STATEMENT

The Certified Coder will play a key role in converting diagnoses and treatment procedures intoICD-10, CPT and HCPCS codes. The Coder will review and accurately code office and hospital procedures for reimbursement.

ESSENTIAL FUNCTIONS

• Accounts for coding and abstracting of patient encounters, including diagnostic and procedural information, significant reportable elements, and complications.
• Researches and analyzes data needs for reimbursement.
• Analyzes medical records and identifies documentation deficiencies.
• Serves as resource and subject matter expert to other coding staff.
• Reviews and verifies documentation supports diagnoses, procedures, and treatment results.
• Identifies diagnostic and procedural information.
• Audits clinical documentation and coded data to validate documentation supports services rendered for reimbursement and reporting purposes.
• Assigns codes for reimbursements, research and compliance with regulatory requirements utilizing guidelines.
• Follows coding conventions. Serves as coding consultant to care providers.
• Identifies discrepancies, potential quality of care, and billing issues.
• Researches, analyzes, recommends, and facilitates plans of action to correct discrepancies and prevent future coding errors.
• Identifies reportable elements, complications, and other procedures.
• Serves as resource and subject matter expert to other coding staff.
• Assists lead or supervisor in orienting, training, and mentoring staff.
• Maintain and respect patient and employee privacy and confidentiality.
• Maintain coding credentials.
• Maintain coding education to keep current on coding guidelines and changes.
• Maintain regular and predictable attendance.
• Support the Medical Center’s Mission/Vision/Philosophy positively.
• Handles special projects as requested.

EDUCATION/EXPERIENCE/SKILL REQUIREMENTS

• High school diploma or equivalent.
• AHIMA or AAPC maintained credentials.
• Knowledge of medical terminology and anatomy/physiology.
• Professionalism, confidentiality, and organization.
• Detail-oriented and able to self-regulate varied tasks.
• Must be self-motivated and able to work within the established policies, procedures and practices prescribed by the hospital/clinic.

PHYSICAL/MENTAL REQUIREMENTS

• Must be able to sit and stand intermittently 8 to 10 hours a day.
• Must be able to use standard office equipment.
• Continuously works under pressure of nearly 100% accuracy while meeting deadlines.
• Continuously utilizes manual/bi-manual dexterity, near vision, speech, and hearing.
• Frequently stands, walks, sits, and utilizes eye/hand coordination and color definition.
• Occasionally reaches above shoulder, regularly required to lift and/or carry up to 5 lbs.
• Occasionally walks on uneven surfaces.