Reviews medical record documentation to abstract and assign diagnoses, procedures, and modifiers for statistical classification and reimbursement purposes
Provides feedback regarding documentation and coding issues
Utilizes software applications and coding references to perform coding related tasks
Maintains an understanding of and ensures compliance with all applicable Official Coding Guidelines
Participates in coder and provider education including documentation improvement efforts for providers
Interacts with provider, nursing staff and departments as assigned
Assists in the training and quality assurance of all coding levels
Completes required coding training or other assigned coding instruction

High School Diploma or GED Required
Five years medical coding with multi-specialty experience or specialty certification Required
Two years’ experience in an academic setting Required
Proficiency in all major specialties Required
Strong procedural coding Required
Experience reviewing DRG assignment required
CCS-Certified Coding Specialist
AAPC
American Academy of Procedural Coders Required

Coder IV

About this role