The Coder I will review, analyze, and accurately assign ICD-10 diagnosis and procedure codes as well as CPT-4/HCPC codes for assuring optimum reimbursement, internal and external reporting, research, and regulatory requirements. The Coder I will accurately code all diagnosis and procedures as documented in the medical record following the Official Guidelines for Coding and Reporting.
· Assigns codes for all diagnoses, treatments, and procedures according to the appropriate classification system for all encounters and according to established policies, procedures, regulatory and accreditation requirements, as well as applicable professional standards.
· Utilizes technical coding principles and MS-DRG and APC reimbursement expertise to assign appropriate ICD-10 diagnoses and procedures and CPT/HCPCS procedure codes.
· Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association (AHIMA) and adheres to official coding guidelines.
· Maintains 95% or above Productivity
· Maintains quality scores at or above 95%
Education: High School Diploma or Equivalent. Completion of nationally recognized Coding Program (AHIMA/AAPC). 2-year Health Information Technology Program preferred.
Experience: At least 0-2 years of progressive on-the-job experience in an acute care setting.
License(s)/Certification(s): Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), or Certified Coding Specialist (CCS), Certified Professional Coder (COC/CPC) or CCA (Certified Coding Associate) with 6 months of acute care coding experience.
Knowledge/Skills/Abilities: Knowledge regarding MS-DRG’s, APC’s and official coding guidelines. Knowledge of ICD-9/ICD-10, CPT, and HCPCS coding principles, government regulations, protocols and third party payer requirements regarding billing and billing documentation. Requires knowledge of federal and local healthcare laws and regulations.