Job description
Overview:
The Coder 1 electronically records, stores, and reports on reams of data. S/he is responsible for coding encounters which may include: outpatient ancillary and professional services. Coders will need to apply a broad knowledge of procedure coding, diagnosis coding, medical terminology and anatomy/physiology. Coder Proficiency: CPT/HCPCS/ICD-10 CM Responsibilities:
Data integrity
Compliance/Safety
Associates Degree or Diploma School Program- Preferred
Certification & Licensures
CPC/CCS/CCA/RHIT/RHIA/CPMA- Preferred
Experience
1 to 2 years- Preferred
Healthcare is a rapidly changing environment and technology is integrated into almost all aspects of patient care. Computers and other electronic devices are utilized across the organization and throughout each department. Colleagues must have an understanding of computers, and competence in using computers and basic software programs.
Remote Position
The Coder 1 electronically records, stores, and reports on reams of data. S/he is responsible for coding encounters which may include: outpatient ancillary and professional services. Coders will need to apply a broad knowledge of procedure coding, diagnosis coding, medical terminology and anatomy/physiology. Coder Proficiency: CPT/HCPCS/ICD-10 CM
Communication
- Works in collaboration with physicians, in tracking un-coded charts and identify opportunities to properly complete coding assignments.
- Works closely with provider and clinical staff to ensure proper charge capture, sufficient documentation and proper code assignment.
Data integrity
- Review medical record to abstract proper code assignment.
- Assign ICD-10 CM/PCS codes to outpatient/ancillary encounters which may include outpatient ancillary and professional services.
- Apply accurate procedure coding, diagnosis coding, medical terminology and anatomy/physiology.
- Assist in maintenance of medical record integrity/documentation improvement opportunities.
Compliance/Safety
- Responsible for reporting any safety-related incident in a timely fashion through the Midas/RDE tool; attends all safety-related training programs; performs work in a safe manner; monitors work environment for possible safety issues and ensures others are also performing work in a safe manner.
- Stays current and complies with state and federal regulations/statutes and company policies that impact the employee's area of responsibility.
- If required for the position, ensures all certifications and/or licenses are up-to-date and valid prior to expiration dates.
- Completes all company mandatory modules and required job-specific training in the specified time frame.
- Maintains confidentiality of all department, patient, and coding matters.
- Stays current with medical terminology and human anatomy.
- Meets industry standard measures of productivity and accuracy.
Education
High School Diploma or GED- Required
High School Diploma or GED- Required
Associates Degree or Diploma School Program- Preferred
Certification & Licensures
CPC/CCS/CCA/RHIT/RHIA/CPMA- Preferred
Experience
1 to 2 years- Preferred
Healthcare is a rapidly changing environment and technology is integrated into almost all aspects of patient care. Computers and other electronic devices are utilized across the organization and throughout each department. Colleagues must have an understanding of computers, and competence in using computers and basic software programs.
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