Job Title: Coder III
The Coder III is responsible for analyzing medical records for completion by Medical Staff, clinical or ancillary department; performing coding and abstracting functions; efficiently navigate the electronic medical record to find patient information required for coding; and accurately abstract medical records for quality assessment screens.
Licensure and Certification:
- CCS required
- RHIT or RHIA strongly preferred
Education:
- Associate Degree in Health Information Technology or Information Technology or equivalent is minimum requirement
- Medical Terminology
- Anatomy and Physiology
- AHIMA approved coding program or equivalent with documentation of successful completion.
Experience:
- Acute hospital experience in an acute care hospital, with three years of inpatient and outpatient coding experience utilizing automated encoder.
Knowledge and Skills:
- Extensive knowledge of ICD-9-CM and CPT
- Understanding of UHDDS
- Computerized medical records coding and abstracting experience at least one year.
- Experience analyzing and manipulating data from medical records coding and abstracts. Knowledge of APCs, E&M coding, Modifier usage.
- Ability to utilize encoder at advanced level
- Ability to utilize computer to maintain current status of coding process
- Ability to code advanced level inpatient, outpatient and Emergency Department records