Coder

Nevada Regional Medical Center•Nevada, MO

2d•Onsite

About The Position

A medical coder is a trained medical professional who uses specialized codes and alphanumeric diagnostic (ICD-10 CM, ICD-10 PCS, CPT and HCPCS) to record and interpret information about health conditions of patients. The medical coder follows the ICD-10 CM Official Coding Guidelines when entering the appropriate diagnostic and procedural codes to individual health information for data retrieval, analysis and claims processing.

Requirements

Ability to communicate clearly and effectively with all levels.
Ability to complete competency for CCS and CPC.
Ability to perform simple mathematical equations.
Ability to prioritize and complete multiple tasks simultaneously.
Effective oral and written communication skills.
CCS, CPC, A & P required.
High school graduate or equivalent.
Experience with medical terminology.

Nice To Haves

2+ years of experience
2 or 4 year Degree

Responsibilities

Responsible for assignment of diagnosis/procedure codes using ICD 10 CM/PCS, CPT/HCS in various settings and for a wide range of ages from neonate to geriatric utilizing the OPTUM encoder.
Validates coding accuracy using clinical information found in the health record.
Supports health record documentation using knowledge of anatomy, physiology, clinical disease processes, pharmacology, and medical terminology to support the diagnosis and reflect clinical findings, and discharge status of patient.
Consults with providers through queries to obtain further clinical information to assist with code assignment.
Validates reimbursement classification system assignments.
Assists in the facility’s billing process.
Utilizes common software packages such as spreadsheets, information systems and e-mail.
Understands the role of various providers and disciplines throughout the continuum of care.
Spends 95% of the time completing coding functions.
Ensures facility-wide adherence to health information services regulatory requirements.
Verifies DRG assignment based on PPS definitions and APC assignment based on OPPS definitions.
Performs E/M coding and charge capture for both the facility and physician.
Assists with education of physicians and staff regarding reimbursement methodologies and documentation rules and regulations related to coding.
Recognizes UB data elements and manages unbilled, denied or suspended accounts.
Applies reimbursement methods for billing or reporting; interprets LMRP or payer policies to determine coverage.