Job Summary
Under the general direction of the Director CDI/Coding or designee, the Medical Records Coder I will improve documentation, data quality and revenue cycle operations. The coder assigns International Classification of Disease system- 10 (ICD), CM, and PCS codes according to AHA – AMA Guidelines, CMS and NGS.
Core Job Responsibilities
- Assign diagnosis and procedure codes, for accurate and timely billing of most appropriate payer
- Audit charges and establish proper coding in collaboration with providers
- Initiate and follow up on queries with providers
- Assist departments with diagnostic and procedural coding
- Respond to Insurance, compliance and RAC denials
- Review and assist in the maintenance of coding related policies and procedures
- Perform other duties as required.
Education/Experience Requirements
Required:
- AS in Health Information Management , a related degree or equivalent experience
- Knowledge of EMR, Coding Software, and Microsoft Office
- Knowledge/understanding of modifiers, medical necessity & CCI edits
- Good Oral and Written Communication
Preferred:
- BS in Health Information Management
- Knowledge of Epic and 3M software
Licensure/Certification Requirements
PREFERRED:
- RHIA, RHIT, CCS, CCA, CPC, CIC Certification