Coder
Job Summary:
The coder will evaluate medical records and charges to ensure completeness, accuracy, and compliance
with State and Federal Regulations and standardized coding guidelines.
Supervisory Responsibilities:
None.
Duties/Responsibilities:
Evaluates medical record documentation and charging to optimize reimbursement by ensuring that
diagnostic and procedural codes and other documentation accurately reflect and support the patient
visit and ensure that data complies with legal standards and official coding guidelines.
Responsible for assigning appropriate diagnosis and procedural coding to patient encounters
according to official coding guidelines.
Reviews state and federal Medicare reimbursement claims for completeness and accuracy before
submission to minimize claim denial.
Reads bulletins, newsletters, and periodicals and attends workshops to stay abreast of issues, trends,
and changes in laws and regulations governing medical record coding guidelines and documentation.
Educates and advises staff on proper code selection, documentation, procedures, and requirements
as needed
Performs other related duties as assigned.
Adheres to the facility’s Standards of Excellence.
Required Skills/Abilities:
Knowledge of diagnosis and procedural coding guidelines; medical terminology; anatomy and
physiology; state and federal Medicare reimbursement guidelines; English grammar and usage.
Ability to research and analyze data, draw conclusions, and resolve issues; read, interpret, and apply
policies, procedures, laws, and regulations.
Ability to read and interpret medical procedures and terminology.
Ability to exercise independent judgment;
Ability to maintain confidentiality.
Education and Experience:
Minimum education requirement is high school diploma or GED; Prefer active Certified Coding
Specialist (CCS) certificate; a Registered Health Information Technician (RHIT) license; or a Registered
Health Information Administrator (RHIA) license in good standing issued by the American Health
Information Management Association.
Must have rural health coding and billing experience, however education and training can be
considered in leu of experience.
Physical Requirements:
Prolonged periods of sitting at a desk and working on a computer.
Must be able to lift up to 15 pounds at times.