Medical Coder Clinic

OrthoNebraska•Omaha, NE

About The Position

The Medical Coder Clinic analyzes patient chart documentation and translates the extracted information into standardized medical codes for the professional component. The position requires attention to detail and knowledge of coding guidelines. The role also supports coding and health information management compliance audits, documentation performance improvement, 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 effective interaction 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 when handling patient information.
  • Must pass a background check and pre-employment physical and drug test; any job offer is contingent on successful completion and obtaining active licensures per job requirements.

Nice To Haves

  • Experience in an orthopedic setting.
  • Proficiency with electronic health records, 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 company-wide and department safety activities.
  • Perform other assigned duties for which competency has been demonstrated.
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