Medical Records Coder and Abstractor II

Job Overview

Reviews and interprets clinical documentation to assign accurate and complete codes, modifiers, DRG’s, and POA indicators. Abstracts demographic and clinical data into hospital health data management systems. Discharges dispositions and other required data elements.

Job Requirements

• Currently enrolled in an approved program for specific field of study.
• Proficiency in ICD and CPT coding DRG’s MSDRG’s POA indicators Post-acute transfer rules Disposition status Disease process and treatment Anatomy and medical terminology Clinical documentation requirements
• AHIMA RHIT - Registered Health Information Technician
• RHIA - Registered Health Information Administrator
• CCS - Certified Coding Specialist
• CPC - Certified Professional Coder
• CCA – Certified Coding Assoc

Job Responsibilities

• Independently and confidently delivers high quality results utilizing coding resources and provided education.
• Reviews and interprets clinical documentation to assign accurate and complete codes, modifiers, DRG’s, and POA indicators.
• Consistently meets monthly productivity goals set by department.
• Abstracts demographic and clinical data into hospital health data management systems.
• Discharges dispositions and other required data elements.

Benefits

We offer competitive shift differentials where applicable, opportunities for professional growth, and a comprehensive benefits package that may include medical, dental, vision, paid time off, retirement savings plans, and tuition reimbursement.

Working Conditions

• Bending - Rarely
• Climbing - Rarely
• Concentrating - Consistently
• Continuous Learning - Consistently
• Hearing: Conversation - Frequently
• Hearing: Other Sounds - Frequently
• Interpersonal Communication - Consistently
• Kneeling - Rarely
• Lifting
• Lifting 50+ Lbs. - Rarely
• Lifting
• Pulling - Occasionally
• Pushing - Occasionally
• Reaching - Occasionally
• Reading - Consistently
• Sitting - Occasionally
• Standing - Frequently
• Stooping - Occasionally
• Talking - Frequently
• Thinking/Reasoning - Consistently
• Using Hands - Frequently
• Color Vision - Frequently
• Visual Acuity: Far - Frequently
• Visual Acuity: Near - Consistently
• Walking - Frequently

TriHealth SERVE Standards and ALWAYS Behaviors

• Welcome everyone by making eye contact, greeting with a smile, and saying "hello."
• Acknowledge when patients/guests are lost and escort them to their destination or find someone who can assist.
• Refrain from using cell phones for personal reasons in public spaces or patient care areas.
• Excel: Recognize and take personal responsibility to address and recover from service breakdowns when a customer's expectations have not been met.
• Offer patients and guests priority when waiting (lines, elevators).
• Work on improving quality, safety, and service.
• Respect: Respect cultural and spiritual differences and honor individual preferences. Respect everyone's opinion and contribution, regardless of title/role. Speak positively about my team members and other departments in front of patients and guests.
• Value: Value the time of others by striving to be on time, prepared and actively participating. Pick up trash, ensuring the physical environment is clean and safe. Be a good steward of our resources, using supplies and equipment efficiently and effectively, and will look for ways to avoid waste.
• Engage: Acknowledge wins and frequently thank team members and others for contributions. Show courtesy and compassion with customers, team members and the community.