Utilizes documentation from health care professionals to assign medical codes to patient records.
Essential Responsibilities:
Responsibilities listed in this section are core to the position. Inability to perform these responsibilities with or without an accommodation may result in disqualification from the position.
- Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association (AHIMA) and adheres to official coding guidelines.
- Applies ICD-10-CM, CPT or modifier codes to accurately reflect patient visit documentation.
- Utilizes coding software and any other coding resources to code inpatient or outpatient services, including diagnoses and procedures.
- Abstracts required data elements i.e. discharge status, etc as defined by management.
- Demonstrated ability to communicate coding issues to providers and submission of coding queries.
- Promotes and maintains cooperation and communication with physicians and all staff and clientele to ensure satisfactory results in reimbursement.
- Acts as a resource to providers, other coders and hospital billing office on coding questions, issues and resolution of billing edits.
- Independently manages coding workload while applying complex coding principles in day-to-day job assignments.
- Maintains a consistent coding quality accuracy rate that is equal to or greater than 95%.
- Meets productivity expectations according to patient classifications established by management.
- Act in accordance with the established mission, vision, and values.
- Abide by the Health Insurance Portability and Accountability privacy and security regulations regarding all aspects of Protected Health Information (PHI).
- Maintain effective communication and professional working relationships with patients/clients and their representatives, team members, contractors, physicians, peers, outside agencies, and the public.
General Responsibilities:
People Management Responsibilities:
Does this position have people management responsibilities?:
☐ Yes 🗷 No
“Yes” indicates that this position entails overseeing and guiding team members, encompassing employment decisions and/or suggestions, as well as conducting formal performance assessments.
"No" indicates that this position does not involve managing team members.
Minimum Qualifications:
Required Education and Experience
Required License/Certifications/Registrations
- CPC, COC, CCS, CCS-P, RHIT or RHIA
Preferred Qualifications:
Preferred Education and Experience
Experience in auditing and monitoring performance/accuracy of coding staff
Coding educator experience
Associate’s Degree
2+ years coding experience in a similar healthcare facility and/or professional fee coding
Preferred License/Certifications/Registrations
Knowledge, Skills, and Abilities:
- Knowledge of inpatient and professional ICD-10 CM and CPT coding standards.
- Strong computer skills with comprehensive knowledge of medical records systems.
- Goal-oriented with the ability to organize and prioritize work in an effective and efficient manner.
- Demonstrate leadership, communication and interpersonal skills.
- Knowledge and skills to provide support, advice and direction for management of medical record related applications as required.
Physical Requirements:
With or without accommodation.
- Light Work: Occasionally exerting up to 25 lbs - frequently exerting up to 10 lbs. 11-25% of the day may be standing or walking.
We offer competitive pay, a generous benefit package and a reason to be proud of what you do, every day.