Applies knowledge of anatomy and physiology, medical terminology and pathology of disease processes while analyzing clinical documentation for inpatient and outpatient records for facility and/or professional services coding. May be assigned to work edit lists for accuracy of claims processing and data reporting. Applies knowledge of DRG, ICD-10and ICD 10 PCS and American Hospital Association, American Medical Association and applicable Federal and third party payer guidelines to accurately and compliantly determine principal and secondary ICD-10 diagnoses codes, principal and secondary ICD-10 procedure codes for all visits. Follows UVMMC compliance and HIM coding compliance policies and by maintaining financial goals and meeting or exceeding accuracy and productivity standards. Utilizes various electronic information systems to accomplish coding including, EPIC, 3M Coding and Reimbursement Systems, and other clinical documentation systems or reference systems as deemed appropriate. Effectively communicates with and acts as a resource to health care providers, department managers and staff to resolve documentation, charge or other issues as they arise to ensure accuracy of coding and reimbursement. HIM Coder may be assigned other duties as deemed necessary by the HIM Supervisor and or HIM Manager. HIM Coder will adhere to the HIM Mission and Vision. All coders will continually seek to improve coding knowledge through various mediums including seminars, articles, networking, web access and other as available.
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Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED