Job Title
The Med Records Coder III functions as an advanced coder in the abstraction and in-depth analysis of a variety of medical documentation and assigns appropriate procedural terminology and medical codes in accordance with applicable coding rules and policies.
Responsibilities
The responsibilities include:
- Using thorough knowledge of coding systems and system logic to review codes created by electronic charge capture and/or assign codes through medical record documentation in accordance with universally recognized coding guidelines.
- Reviewing and resolving coding denials. Resolving problems with claims having errors related to improper coding and providing feedback for correction and follow-up.
- Abstracting data and reviewing codes for accuracy. Performing system edit checks and correcting errors as needed.
- Responding to coding information requests from various sources. Communicating document improvement opportunities and coding issues to providers, department, and/or designated leader for follow up and resolution.
- Consulting with internal customers and external vendors to obtain greater specificity and/or clarification when documentation appears inconsistent or incomplete.
- Other duties as assigned.
Minimum Education & Experience
The minimum education and experience required include:
- High School diploma or equivalent and 1 year Medical Coder experience required.
- Associate's degree in Health Information Technology or health related field preferred.
- Additional coding experience in area of assignment preferred.
- Or equivalent combination of education and experience.
Knowledge, Skills and Abilities
The knowledge, skills and abilities required include:
- Knowledge of ICD-10CM, CPT and HCPSC required.
- Working knowledge of medical terminology and anatomy required.
Licenses and Certifications
The preferred licenses and certifications include:
- American Health Information Management Association (AHIMA) accreditation examination for Registered Health Information Administrator (RHIA) or (Registered Health Information Technician) RHIT or Certified Coding Specialist (CCS) preferred.
- Certified Professional Coder (CPC) from American Academy of Professional Coders (AAPC) or Certified Medical Coder (CMC) from Practice Management Institute preferred.
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