Coder

Job Description

Description:

Performs the coding of outpatient and/or inpatient and ancillary medical records as well as various Health Information Management duties.

Functions of the Position (not an exhaustive list):

Review medical records classified as inpatient, observation, treatment room, Emergency Department and ancillary

Assign appropriate diagnosis/procedure codes using the ICD-10 and CPT-4 classification systems. Assign codes using coding books or by using the 3M/code finder computer system

Follow established coding guidelines when assigning diagnosis/procedure codes to records

Request diagnosis/procedural information from physician when information is not available at the time of coding

Utilize approved resources for coding purposes, i.e. CMS.gov website Requirements:

Education:

High School diploma or equivalent

Knowledge of Medical Terminology, Anatomy and Physiology, CPT and/or ICD-10 PCS, and ICD10-CM coding systems

RHIT, RHIA, or professional coding credential required

Experience

Two years coding experience preferred

Full-time