Certified Medical Coder - Clinics

Position Summary

The Clinic Medical Coder meticulously analyzes patient chart documentation and translates the extracted information into standardized medical codes for the professional component. This role needs to be detailed oriented and knowledgeable of coding guidelines.

Position Requirements

• Education: High School Diploma or GED required.

• Licensure: N/A

• Certification: Current/active Coding certification through AHIMA or AAPC required.

• Experience: 1+ year experience actively coding, including E/M levels required. Experience in Orthopedic setting preferred.

Required Knowledge/Skills/Abilities

• Proficiency in electronic health record, specifically Cerner, is preferred.

• Familiarity with medical terms, coding systems, and classification standards.

• Strong verbal and written communication skills for effective interaction with healthcare professionals and staff.

• Efficiently manage multiple tasks and prioritize responsibilities to meet deadlines.

• Uphold strict confidentiality and ethical standards in handling patient information.

Essential Job Functions

• 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.

• Participate in coding and documentation performance Improvement activities.

• Is expected to comply with safety policies and procedures, regulatory requirements such as OSHA and JCAHO and to participate in corporate-wide and department safety activities.

Physical Requirements

This position is classified as Sedentary Work in the Dictionary of Occupational Titles, requiring the exertion of up to 10 pounds of force occasionally (up to 33% of the time) and/or a negligible amount of force frequently (33%-66% of the time) to lift, carry, push, pull or otherwise move objects, including the human body. Sedentary work involves sitting most of the time but may involve walking or standing for brief periods of time.