Medical Coder III

Nevada System of Higher Education

79d•$27 - $40•Hybrid

About The Position

The Medical Coder III is a senior-level position responsible for ensuring precise coding of diagnoses and procedures in compliance with established coding guidelines and regulations. This role is integral to maintaining financial accuracy and regulatory compliance within our institution.

Requirements

Bachelors Degree Information Technology Required
5+ Years of coding experience, with a strong background in ICD-10-CM and CPT coding, including complex coding scenarios.
Certified Professional Coder (CPC) - American Academy of Professional Coders (AAPC) Required
Certified Coding Specialist (CCS) - American Health Information Management Association (AHIMA) Required

Responsibilities

Assign accurate diagnostic (ICD-10-CM) and procedural (CPT) codes to medical records, demonstrating advanced proficiency in complex coding scenarios.
Lead and conduct internal audits of medical records and coding work to ensure the accuracy and consistency of code assignments, providing guidance and feedback to junior coders.
Analyze clinical documentation in medical records and collaborate with physicians and clinical staff to clarify and enhance documentation for accurate coding.
Stay current with the latest coding guidelines, conventions, and regulatory changes, sharing knowledge with the coding team.
Collaborate with clinical staff to resolve coding-related questions and discrepancies, facilitating accurate code assignment and documentation improvement.
Ensure coding practices are consistently in compliance with federal, state, and local healthcare regulations, as well as HIPAA privacy standards.
Generate advanced coding reports and summaries, providing insights into coding accuracy, trends, and opportunities for improvement.
Mentor and train junior coders, providing guidance and support in developing their coding skills and understanding of best practices.
Demonstrate advanced proficiency in using coding software and electronic health record systems, contributing to process improvements.