Coder/Abstractor Clerk I

It's fun to work in a company where people truly BELIEVE in what they're doing!

We're committed to bringing passion and customer focus to the business.

Department:
Health Information Management

Works under the direction of the HIM Director/Coding Compliance Manager.

Performs ICD-10 HCPCS coding, data abstracting and computer data entry on all inpatient and outpatient medical records.

Performs other duties as assigned.



* Demonstrates competency with accurate and compliant coding utilizing ICD-10 and HCPCS classification using established governing guidelines for complete reporting of conditions and services rendered.



* Thoroughly reviews chart to ascertain all appropriate diagnosis/procedures, if there is a question regarding the diagnoses/code, refers chart to Coding Compliance Manager.



* Queries providers for clarification of non-specific diagnoses/procedures.



* Utilizes computerized coding/abstracting applications.



* Codes all diagnoses/procedures in accordance to ICD-10 and HCPCS coding principals and established coding guidelines.



* Assists physicians in proper record completion, including sequencing for appropriate reimbursement.



* Performs computer data analysis, identifies of potential Patient Safety Indicators, and hospital focused process improvement initiatives.



* Attends workshops, seminars and in services to maintain current knowledge and certifications.



* Stays current on published guidelines such as Coding Clinics for on-going compliant coding.



* Works with the Clinical Documentation Specialists to ensure the highest level of specificity and accuracy is documented in the medical record.



* Maintains code assignments to meet hospital timely billing standards.



* Performs other duties as assigned.

Education: A minimum of a high school diploma or GED required.

Licensure:


* Coder I & II - CCA/CCPS required.

New hires/transfers must be eligible for AHIMA CCA/CCPS certification within one (1) year from date of hire/transfer.



* Coder III - CCS required.

New hires/transfers must be eligible for AHIMA CCS certification within one (1) year from date of hire/transfer.



* Coder III - Certified - CCS required.

Experience: Must prove understanding of medical terminology via a pre-employment test in addition to the experience listed below.



* Coder I : Entry level training position.

Basic ICD-10/HCPCS knowledge, codes outpatient/ER primarily with some exposure to outpatient clinical, surgical and observation encounters.



* Coder II: Demonstrates competency in intermediate ICD-10/HCPCS code assignment.

At least 6 months coding experience in an acute care hospital.



* Coder III: A minimum of at least 2 years inpatient coding experience in an acute care hospital with DRG/APC assignment experience.



* Coder III-Certified: A minimum of at least 2 years inpatient coding experience in an acute care hospital with DRG/APC assignment experience....