Coder III

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