Coder

OrthoNebraska • Omaha, NE

6d

About The Position

The Medical Coder analyzes patient chart documentation and translates the information into standardized medical codes for the professional component. The position requires attention to detail and knowledge of coding guidelines. The coder also supports coding and health information management compliance audits, performance improvement activities, customer service, and safety and regulatory compliance.

Requirements

• High school diploma or GED.
• Current, active coding certification through AHIMA or AAPC.
• At least 1 year of active coding experience, including E/M levels.
• Familiarity with medical terminology, coding systems, and classification standards.
• Strong verbal and written communication skills for interacting with healthcare professionals and staff.
• Ability to manage multiple tasks efficiently and prioritize responsibilities to meet deadlines.
• Ability to uphold strict confidentiality and ethical standards in handling patient information.
• Must pass a background check and complete a pre-employment physical and drug screen; active licensure required for the job must be obtained.

Nice To Haves

• Experience in an orthopedic setting.
• Proficiency in an electronic health record, specifically Cerner.

Responsibilities

• Analyze medical record documentation and accurately code and sequence diagnoses and procedures.
• Input codes and required medical record data items.
• Complete coding and health information management compliance audits and other projects as assigned by the Coding and Compliance Coordinator/Health Information Manager.
• Provide customer service and support public relations.
• Participate in coding and documentation performance improvement activities.
• Comply with safety policies and procedures and regulatory requirements, including OSHA and JCAHO, and participate in corporate-wide and department safety activities.
• Perform other duties as assigned for which competency has been demonstrated.

What This Job Offers

• Job Type: Full-time
• Education Level: High school or GED