Coder III

Position Summary:

-Reviews clinical documentation and diagnostic results and applies appropriate ICD-10-CM, and CPT-4 codes.

-Codes are used for billing, internal and external reporting, research and regulatory compliance activities.

-Resolves billing related errors and assists with workflow changes and process improvement projects.

-Meets ongoing productivity and quality standard of 95% accuracy rate or better***

-Verifies that all ICD-10 codes are correctly captured.

-Verifies that physician is correctly abstracted.

-Keeps abreast of coding guideline changes.

-May identify chargeable items for facility level for given department.

-May assign codes for diagnoses and treatment for ancillary outpatient encounters.

-Abides by the standards of Ethical Coding as set forth by the American Health Information Management Association (AHIMA) and adheres to all official coding guidelines.

-Performs other duties as assigned.

-Additionally, the Coder III utilize0s technical coding principles and APC reimbursement expertise to assign appropriate ICD-10-CM and CPt-4 procedures.

-Assigns codes for diagnoses, treatment and procedure for multiple specialized departments, including Outpatient ancillary, Emergency Department, and Inpatient and Outpatient Surgery.

-Determines the correct principal diagnosis, co-morbidities, complications, secondary conditions and surgical procedures.

-Assigns MS-DRG, Present on Admission (POA) indicators, Hospital Acquired conditions), and accurately abstracts discharge dispositions.

-Queries physicians per established policy and procedure when documentation is not clear or conflicting.

Required Skills & Experience:

-Five years of progressive inpatient coding experience in an acute care facility.

Preferred Skills & Experience:

-N/A