Job Summary Coder III The Coder III is responsible for analyzing medical records for completion by Medical Staff, clinical or ancillary department; performing coding and abstracting functions; efficiently navigate the electronic medical record to find patient information required for coding; and accurately abstract medical records for quality assessment screens.
Licensure and Certification: * CCS required * RHIT or RHIA strongly preferred Education: * Associate Degree in Health Information Technology or Information Technology or equivalent is minimum requirement * Medical Terminology * Anatomy and Physiology * AHIMA approved coding program or equivalent with documentation of successful completion.
Experience: * Acute hospital experience in an acute care hospital, with three years of inpatient and outpatient coding experience utilizing automated encoder.
Knowledge and Skills: * Extensive knowledge of ICD-9-CM and CPT * Understanding of UHDDS * Computerized medical records coding and abstracting experience - at least one year.
* Experience analyzing and manipulating data from medical records coding and abstracts.
Knowledge of APCs, E&M coding, Modifier usage.
* Ability to utilize encoder at advanced level * Ability to utilize computer to maintain current status of coding process * Ability to code advanced level inpatient, outpatient and Emergency Department records Physical Demands - Clerical/Administrative Non-Patient Care: * Frequent sitting and standing/walking with frequent position change.
* Continuous use of bilateral upper extremities in fine motor activities requiring fingering, grasping, and forward reaching between waist and chest level.
* Occasional/intermittent reaching at or above shoulder level.
* Occasional/intermittent bending, squatting, kneeling, pushing/pulling, twisting, and climbing.
* Occasional/intermittent lifting and carrying objects/equipment weighing up to 25 pounds.
* Continuous use of near vision, hearing and verbal communication skills in handling telephone calls, interacting with customers and co-workers and performing job duties.
Key for Physical Demands Continuous 66 to 100% of the time Frequent 33 to 65% of the time Occasional 0 to 32% of the time