Coder I

About the Role

Responsible for coding inpatient or outpatient records, reviewing documentation, and properly identifying and assigning ICD-10-CM, CPT-4/HCPCS, and/or ICD-10-PCS codes for all reportable diagnoses and procedures. This includes determining the correct principal diagnosis, co-morbidities, complications, secondary conditions, and surgical procedures.

Responsibilities

• Handle outpatient coding and charge validation (charge entry).
• Code simple inpatient visits (with less than 30 days of length of stay).
• Properly identify and assign ICD-10-CM, CPT-4, or ICD-10-PCS codes.
• Determine the correct principal diagnosis, co-morbidities, complications, secondary conditions, and surgical procedures.
• Ensure codes are assigned correctly and sequenced appropriately in compliance with medical coding guidelines and policies.
• Maintain knowledge of current coding guidelines through self-study, assigned education, corporate coding meetings, or related in-services.
• Participate in internal and external quality review meetings and responses.
• Collaborate with appropriate departments such as nursing or CDI (Clinical Documentation Improvement) to ensure accurate APR-DRG/SOI/ROM and their impact, along with other indicators as needed.

Qualifications

• Required: Associate’s degree in HIT, Applied Science, Liberal Arts, or other related healthcare field.
• Must be certified or eligible to be certified within one year in at least one of the following:
  • AHIMA Certification (e.g., RHIA, RHIT, CCS)
  • AAPC Certification (e.g., CPC, CCC, COC, CIC, CHONC)
  • AMAC Certification (e.g., ROCC - Radiation Oncology Certified Coder)
• Preferred: One year of facility outpatient, professional, or inpatient coding experience.

Schedule

• Full-time
• Daily work times: 8:00 AM – 4:30 PM
• Hours per pay period: 80
• On-call: No
• Weekends: No