Certified Coder -- ON SITE with Remote option

Job Summary

Accountable for conversion of diagnoses and treatment procedures into codes using an international classification of diseases. Requires skill in the sequencing of diagnoses/procedures to optimize reimbursement. Ensures that records are coded in an accurate and timely manner.

Essential Job Functions

• Ensures that records are coded within 36 hours of discharge, excluding weekends and holidays.
• Reviews medical record thoroughly to ascertain all diagnoses/procedures.
• Queries healthcare providers in accordance to the department query policy.
• Refers medical record to director, if there is a question regarding the diagnoses/codes.
• Utilizes computerized coding/abstracting equipment.
• Codes all diagnoses/procedures in accordance to ICD coding principles and the Coding Manual.
• Reviews coding periodicals within seven (7) days of receipt.
• Ensures data quality and optimum reimbursement allowable under the federal and state payment systems.
• Acts as a resource person to hospital staff for coding and may provide education regarding coding changes/issues.
• Must be familiar with all medical record and coding requirements, including Inpatient and Outpatient, Along with the various insurance provider requirements, such as Medicare, Medicaid, and Blue Cross.
• Accounts for all records and notifies the director of any not received.
• Assembles medical records according to forms placement guidelines.
• Audits and analyzes medical records for completeness and accuracy.
• Enters deficiencies into computer, checks records out, and forwards to appropriate physician for completion.
• Follows the filing schedule.
• Performs other duties as assigned by the director.

Basic Skills

• Basic computer skills

Education and Work Experience Required

• AHIMA certification preferred. (RHIA, RHIT, CCS or CCA)
• 2 or more years of previous hospital experience as a Coder preferred
• Knowledge of diagnoses/procedures in accordance with ICD coding principles for both inpatient and outpatient
• Knowledge of CIHQ standards and state regulations for acute care facilities.

Languages Skills

• Ability to read and communicate effectively in English.
• Additional language a plus

Physical Requirements

• Prolong keyboarding, sitting and standing with this position.
• Moderate kneeling, crouching, stooping, and crawling while retrieving and filing records.
• Moderate reaching, pulling and pushing with arms and hands.
• Must be able to lift 50 pounds occasionally.