Coder I

Position Summary:

Responsible for coding inpatient or outpatient records, reviews documentation and properly identifies and assigns 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, and complications, secondary conditions, and surgical procedures.


Essential Functions and Responsibilities As Assigned :

1. Responsible for outpatient coding and charge validation (charge entry)

2. Responsible for coding simple inpatient visits (with < 30 days of LOS)


3. Properly identifies and assigns ICD-10-CM, CPT-4 or ICD-10- PCS codes.

4. Determines the correct principal diagnosis, co-morbidities, and complications, secondary conditions, and surgical procedures.


5. Ensures codes are assigned correctly and sequenced appropriately in compliance with medical coding guidelines and policies.

6. Maintains knowledge of current coding guidelines by self-study, assigned education, corporate coding meeting attendance, or related in-services.


7. Participates in internal and external quality review meetings and responses.

8. Works collaboratively with appropriate departments such as nursing or CDI (clinical documentation improvement), etc. to ensure accurate APR-DRG/SOI/ROM and their impact and other indicators as needed.

Qualifications:

Required:
• Associate's degree HIT, Applied Science, Liberal Arts or other related healthcare field.
• Certified or eligible to be certified in at least one of the following within one year:
• AHIMA Certification (such as: RHIA, RHIT, CCS)
• AAPC Certification (such as: CPC, CCC, COC, CIC, CHONC etc.)
• AMAC Certification such as: ROCC (Radiation Oncology Certified Coder)


Preferred:
• One year of facility outpatient, professional or inpatient coding experience.

Equal Opportunity Employer of Minorities/Females/Disabled/Veterans