Coder (Business Office)
About The Position
Primary Purpose: To provide customer service to both the internal and external customers of the Health Information Management Department in a timely fashion. Review all outpatient encounters, selecting appropriate ICD-10-CM and ICD-10-PCS codes to reflect the diagnoses and course of treatment. Formal Policy-Setting Responsibilities: No formal responsibility. The policies associated with the job’s purpose and essential responsibilities are set by others. Routine Decision Making: Selects ICD-10 CM diagnostic codes and CPT-4 procedure codes for outpatient procedures, and ICD-10-PCS codes for inpatient procedures to obtain appropriate reimbursement. Coders also verify the correct charges are on the chart in accordance to physicians’ orders. Formal Supervisory Responsibility: No formal supervisory responsibility. Required Knowledge: Extensive knowledge of medical terminology, anatomy and physiology. Working knowledge of ICD10-CM. Preferred Skills and Ability: Proficiency in computer skills. Good communication skills with some experience working with physicians. Ability to maintain a high level of integrity and confidentiality of medical information. Strict attention to detail. Unusual Working Conditions: None.
Requirements
- Extensive knowledge of medical terminology, anatomy and physiology.
- Working knowledge of ICD10-CM.
- Coding Certification required. CPC, CPC-H, CCS, and/or RHIT
Nice To Haves
- Proficiency in computer skills.
- Good communication skills with some experience working with physicians.
- Ability to maintain a high level of integrity and confidentiality of medical information.
- Strict attention to detail.
- CPC or similar preferred
- Prior coding experience preferred
Responsibilities
- Codes records using ICD10-CM coding guidelines and ICD-10-PCS procedure coding guidelines. Trucode Encoder.
- Determines appropriate ICD10-CM and ICD-10-PCS procedure codes for inpatient procedures and CPT-4 treatment codes for outpatient procedures, utilizing the Trucode encoder for all code selections on outpatient charts assigned.
- Abstracts completed records entering correct information in the required abstract field, with minimal errors, verifying other pre-entered fields bypassed.
- Making sure that codes are assigned correctly and sequenced appropriately as per government and insurance regulations.
- Complying with medical coding guidelines and policies.
- Following all medical necessity edits by communicating with departments on charging, documentation and sending physician queries.
- Coders may be involved in audit processes as needed by Health Information Management (HIM)/Coding Coordinator.
- Answers phone calls in accordance with departmental standards.
- Answers both internal and external phone calls utilizing proper phone etiquette, within three rings, two rings preferred.
- Refers unresolved patient/customer issues to the Health Information Management Coordinator.
- Forwards calls appropriately 100% of the time.
- Prepares records for scanning as necessary
- Prints separator sheets for encounters coded.
- Places separator sheet appropriately with in encounter.
- Performs other duties as requested by HIM/Coding Coordinator.
- Meet productivity and quality standards.
- Implementing strategic procedures and choosing strategies and evaluation methods that provide correct results.
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
No Education Listed
Number of Employees
101-250 employees
