Coder III

Job Summary

Accurately and efficiently codes and abstracts comprehensive acute care inpatient, rehabilitation inpatient, outpatient surgery, swing bed, long term care, ancillary services and short stay observation patient records according to official coding guidelines for accurate coding and benchmarks for productivity.

Responsibilities

• Evaluates and assigns accurate DRG, PAI, and APC assignment.
• Completes facility charges for outpatient services as assigned.
• Analyzes, audits, and abstracts clinical record information for all patient encounters according to the established parameters.
• Ensures the accuracy, completeness, and propriety of medical information both text based and encoded in all patient care settings.
• Assists with keeping discharged unbilled accounts within limits as specified by CEO.
• Serves as a resource for others with questions, inquiries concerning coding applications, compliance, and data interpretation.
• Provides technical assistance for authorized data retrieval from the coding database.
• Completes discharge analysis quality for SO/OPS and Inpatient Discharge Analysis Quality.
• Edits and updates clinical documentation to ensure completeness and accuracy of documentation.
• Communicates with Providers and Hospital workforce in the area of clinical documentation, DRG assignment and coding guidelines.
• Accurately selects appropriate diagnosis and procedure codes for all inpatient medical records in accordance with established guidelines, remaining under a 5% error ratio.
• Appropriately assigns correct DRG.
• Completes discharge analysis quality for SO/OPS and Inpatient Discharge Analysis Quality.
• Edits and updates clinical documentation to ensure completeness and accuracy of documentation.
• Communicates with Providers and Hospital workforce in the area of clinical documentation, DRG assignment and coding guidelines.

Requirements

• Education: High School Diploma/GED Equivalent in General Studies
• Preferred Experience: 3+ years of Hospital Coding Experience
• Education: Associates degree in Health Information Management
• Certifications: Certified Coding Specialist (CCS) - American Health Information Management Association (AHIMA); Certified Professional Coder - Apprentice (CPC-A) - American Academy of Professional Coders (AAPC); Registered Health Information Administrator (RHIA) - American Health Information Management Association (AHIMA); Registered Health Information Technician (RHIT) - American Health Information Management Association (AHIMA)

Physical Requirements

Sedentary work - Exerting up to 10 pounds of force occasionally and/or negligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects, including the human body. Sedentary work involves sitting most of the time.

Job Description

Essential Functions:

• Analyzes, audits, and abstracts clinical record information for all patient encounters according to the established parameters.
• Ensures the accuracy, completeness, and propriety of medical information both text based and encoded in all patient care settings.
• Assists with keeping discharged unbilled accounts within limits as specified by CEO.
• Serves as a resource for others with questions, inquiries concerning coding applications, compliance, and data interpretation.
• Provides technical assistance for authorized data retrieval from the coding database.
• Completes discharge analysis quality for SO/OPS and Inpatient Discharge Analysis Quality.
• Edits and updates clinical documentation to ensure completeness and accuracy of documentation.
• Communicates with Providers and Hospital workforce in the area of clinical documentation, DRG assignment and coding guidelines.
• Accurately selects appropriate diagnosis and procedure codes for all inpatient medical records in accordance with established guidelines, remaining under a 5% error ratio.
• Appropriately assigns correct DRG.
• Completes discharge analysis quality for SO/OPS and Inpatient Discharge Analysis Quality.
• Edits and updates clinical documentation to ensure completeness and accuracy of documentation.
• Communicates with Providers and Hospital workforce in the area of clinical documentation, DRG assignment and coding guidelines.

Benefits

Competitive wages and benefits on qualifying positions. Some of those benefits can include: Supportive work culture, Medical, Vision and Dental Coverage, Retirement Plans, Health Savings Account, and Flexible Spending Account, Instant pay is available for qualifying positions, Paid Time Off Accrual Bank, Opportunities for growth and advancement, Tuition assistance/reimbursement, Excellent pay differentials on qualifying positions, Flexible scheduling.