Certified Medical Coder

Medical Coding Specialist

The purpose of this position is to review the medical record to assure specificity of diagnoses, procedures and appropriate/optimal reimbursement for hospital and/or professional charges; Retrieves information from medical records, ensuring adherence with established methods and procedures.

Key Responsibilities/Accountabilities:

• Review medical record documentation and accurately code the primary/secondary diagnoses and procedures using ICD-9-CM and CPT-4 coding conventions.
• Sequence the diagnoses and procedures using coding guidelines.
• Ensure DRG/APC assignment is accurate.
• Abstract and compile data from medical records for appropriate optimal reimbursement for hospital and/or professional charges.
• Serves as backup to other administrative functions as assigned.
• Meets job standards for achieving contract deliverables.
• Assists with other job- and education-related duties as assigned.
• Other duties as assigned
• Read, understand, and adhere to all corporate policies including policies related to HIPAA and its Privacy and Security Rules.

Critical Qualifications:

High school diploma or GED.

Certification as a Coding Specialist (CCS preferred - others may be considered with substantial hospital inpatient coding experience).

Additional Qualifications:

• Knowledge of ICD-9 and CPT systems.
• Knowledge of Anatomy and Physiology.
• Ability to interpret medical terminology.
• Knowledge of DRG/APC reimbursement.
• Coding software.
• Effective written and verbal communication skills.
• Attention to detail.
• Efficient data entry skills.
• Proficiency in the Microsoft Office Suite (Word, Excel, Outlook).
• Ability to meet deadlines with a sense of urgency.