Coder 3

Role Overview

• Works in collaboration with physicians, in tracking un-coded charts and identifying opportunities to properly complete coding assignments.
• Works closely with Clinical Documentation Improvement (CDI) specialists, providers and clinical staff to develop and maintain a comprehensive audit and management system to ensure proper charge capture, sufficient documentation and proper code assignment across all service lines.
• Mentors and trains other coders in the department.
• Communicates coding/documentation education and training to providers, staff and leadership.
• Reviews medical record to abstract proper code assignment.
• Assigns ICD-10 CM/PCS/CPT and HCPCS codes to inpatient, outpatient, emergency room, outpatient clinical and professional services, as required.
• Applies accurate procedure coding, diagnosis coding, medical terminology, anatomy/physiology, and industry regulations.
• Assists in maintenance of medical record integrity/documentation improvement opportunities.
• Develops educational material based on coding changes, code updates and audit findings, as required.
• Responsible for reporting any safety-related incident in a timely fashion through the Midas/RDE tool; attends all safety-related training programs; performs work in a safe manner; monitors work environment for possible safety issues and ensures others are also performing work in a safe manner.
• Stays current and complies with state and federal regulations/statutes and company policies that impact the employee's area of responsibility.
• Completes all company mandatory modules and required job-specific training in the specified time frame.
• Maintains confidentiality of all department, patient, and coding matters.
• Stays current with medical terminology and human anatomy.
• Meets industry standard measures of productivity and accuracy.

Requirements

• High School Diploma or GED
• Required
• Associates Degree or Diploma School Program
• Preferred
• Certification & Licensures CPC/CSS/CCA/RHIT/RHIA/CPMA
• Required
• 2 year minimum
• Required
• ICD-10 proficiency
• required

Benefits

• Telecommute options
• Professional development opportunities