Basic Function:

The Medical Coder III reviews inpatient, Same Day Surgery, Clinic and Emergency Room Records for diagnoses and procedures and assigns the appropriate ICD-9-CM and CPT-4 codes. This includes completion of the coding sheet generated from out of the ENCoder product and interacting with the medical staff. Responsible for accurate discharge data abstracts; and the correction of SPARCS data. Participates in on-going in-service education as well as annual inpatient and outpatient coding educational sessions. Responsible for the correct DRG assignment including processes SMART reviews daily. Abstracts information such as, congenital malformation registry cards and Alzheimer's disease reports.

Requirements:

High School Diploma or Equivalent required. Certified Professional Coder (CPC), Certified Coding Specialist (CCS), Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA) required. Additional specialty certification required. A through understanding (course work) of Anatomy and physiology, medical terminology is required. A minimum of one-year experience in ICD-9-CM and CPT-4 coding preferred. Professional designation as a CCS, RHIA or RHIT or eligible is preferred. Work requires a moderate level of interpersonal skills to interact with the medical staff and other ancillary staff. Other: Knowledge of Anatomy and Physiology, Medical Terminology and current coding standards. Skilled experience and knowledge of Windows based software required, including but not limited to Microsoft Windows, Excel and Word. Experience with Siemens Soarian systems and Allscripts electronic health record preferred.

Responsibilities:

• Responsible for managing charge entry and charge reconciliation for the assigned physician practice(s).

• Reviewing Inpatient, Surgeries, and Practice records for diagnoses and procedures and assigns the appropriate ICD-9-CM and CPT-4 codes utilizing the Allscripts and the Soarian Financial Management Systems.

• Establish relationships with medical/dental staff, follow-up with providers to ensure documentation supports the diagnoses and E/M level in question. Responsible for weekly chart audits for practice providers to optimize accurate documentation and coding.

• Managing the Encounter Billing Exception Worklist (EBEW) and related worklists that hold claims from billing, establish and maintain a close working relationship with the PBO dept. to reduce and address claim issues and denials timely.

• Assists in the maintenance of the practice’s charges and coding, in cooperation with the Charge Description Master (CDM) Manager and Health Information Services (HIS) Department.

• Responds promptly to customer questions, provides excellent customer service and collaborates with other departments throughout the organization.

Salary Range: $21.22-$30.77/hour