Medical Coder

BMC Software

2d•$28 - $37•Onsite

About The Position

Assigns appropriate codes to reflect all diagnoses and procedures extrapolated from physician and appropriate nursing documentation during a patient encounter according to the most current coding methodologies, including ICD-10-CM/PCS, HIM-designated CPT-4/HCPCS and CPT-HCPCS modifiers resulting in appropriate reimbursement. Abstracts required data to input into the Medical Center's computerized data base. Converts all patient visits and encounters into appropriate DRG (Diagnosis-related group), ASC (Ambulatory Surgical Classification), APG (Ambulatory Patient Groups), APC (Medicare’s Ambulatory Patient Classification) assignments in order to correctly submit the optimal reimbursement for each patient encounter coded.

Requirements

Level of knowledge equivalent to that ordinarily acquired through completion of an Associate's Degree in Health Information, Medical Records, Medical Coding or similar program.
An equivalent combination of education and experience, which provides proficiency in the areas of responsibility, may be substituted for the stated education and experience requirements.
Must have obtained and maintain current at least one of the following: Certified Coding Specialist (CCS), Certified Coding Specialist-Professional (CCS-P), Certified Professional Coder (CPC), Certified Professional Coder-Hospital Outpatient (CPC-H).
At least 12 months of full-time coding experience in an acute care facility.
In-depth knowledge of medical terminology, ICD-10-CM/PCS and CPT-4 Coding conventions and knowledge of the various DRG systems (CMS DRGs, AP-DRG, and APR-DRGs).
Basic concepts of human anatomy, physiology and pathology.
Strong knowledge of health records, computerized billing and charging systems, Microsoft applications, data integrity, and processing techniques required.
Excellent organizational skills, including ability to multi-task, prioritize essential tasks, follow-through and meet timelines.
Ability to work with accuracy and attention to detail.
Ability to solve problems appropriately using job knowledge and current policies/procedures.
Ability to work cooperatively with members of the healthcare delivery team and staff, ability to handle frequent interruptions and adapt to changes in workload and work schedule and to respond quickly to urgent requests.
Must be able to maintain strict confidentiality of all personal/health sensitive information and ensure compliance of HIPAA rules and regulations.

Responsibilities

Assigns appropriate codes to reflect all diagnoses and procedures extrapolated from physician and appropriate nursing documentation during a patient encounter according to the most current coding methodologies, including ICD-10-CM/PCS, HIM-designated CPT-4/HCPCS and CPT-HCPCS modifiers resulting in appropriate reimbursement.
Abstracts required data to input into the Medical Center's computerized data base.
Converts all patient visits and encounters into appropriate DRG (Diagnosis-related group), ASC (Ambulatory Surgical Classification), APG (Ambulatory Patient Groups), APC (Medicare’s Ambulatory Patient Classification) assignments in order to correctly submit the optimal reimbursement for each patient encounter coded.