Coder/Abstractor Clerk I
About The Position
This position performs ICD-10 HCPCS coding, data abstracting, and computer data entry on all inpatient and outpatient medical records. The role works under the direction of the HIM Director/Coding Compliance Manager and is responsible for ensuring accurate and compliant coding according to established governing guidelines. The Coder/Abstractor Clerk I will also query providers for clarification, utilize computerized coding applications, and assist physicians in proper record completion for reimbursement. Additionally, the role involves computer data analysis, identification of potential Patient Safety Indicators, and participation in hospital process improvement initiatives. Continuous learning through workshops and seminars is expected to maintain current knowledge and certifications, staying updated on published guidelines like Coding Clinics. Collaboration with Clinical Documentation Specialists is key to ensuring specificity and accuracy in medical records, while also meeting hospital timely billing standards. Other duties as assigned.
Requirements
- A minimum of a high school diploma or GED required.
- Coder I & II – CCA/CCPS required. New hires/transfers must be eligible for AHIMA CCA/CCPS certification within one (1) year from date of hire/transfer.
- Must prove understanding of medical terminology via a pre-employment test.
- Basic ICD-10/HCPCS knowledge, codes outpatient/ER primarily with some exposure to outpatient clinical, surgical and observation encounters.
Nice To Haves
- Coder III – CCS required. New hires/transfers must be eligible for AHIMA CCS certification within one (1) year from date of hire/transfer.
- Coder III – Certified – CCS required.
- At least 6 months coding experience in an acute care hospital.
- A minimum of at least 2 years inpatient coding experience in an acute care hospital with DRG/APC assignment experience.
Responsibilities
- Performs ICD-10 HCPCS coding, data abstracting and computer data entry on all inpatient and outpatient medical records.
- Demonstrates competency with accurate and compliant coding utilizing ICD-10 and HCPCS classification using established governing guidelines for complete reporting of conditions and services rendered.
- Thoroughly reviews chart to ascertain all appropriate diagnosis/procedures, if there is a question regarding the diagnoses/code, refers chart to Coding Compliance Manager.
- Queries providers for clarification of non-specific diagnoses/procedures.
- Utilizes computerized coding/abstracting applications.
- Codes all diagnoses/procedures in accordance to ICD-10 and HCPCS coding principals and established coding guidelines.
- Assists physicians in proper record completion, including sequencing for appropriate reimbursement.
- Performs computer data analysis, identifies of potential Patient Safety Indicators, and hospital focused process improvement initiatives.
- Attends workshops, seminars and in services to maintain current knowledge and certifications.
- Stays current on published guidelines such as Coding Clinics for on-going compliant coding.
- Works with the Clinical Documentation Specialists to ensure the highest level of specificity and accuracy is documented in the medical record.
- Maintains code assignments to meet hospital timely billing standards.
- Performs other duties as assigned.
Benefits
- The hourly rate for this position is $35.02 - $42.15.
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
