Professional Services Coder And Coding ReviewerPosition Code: Coder-8125Oracle Code: Coder-8215Department: Health Information ManagementSafety Sensitive: Yes NoReports To: HIM Director/ManagerExempt Status: Yes NoPosition Purpose:All KHI employees are expected to perform their respective tasks and duties in such a way that supports KHI's vision to be among the kindest, highest quality health systems in the country.Key ResponsibilitiesEvaluates medical record documentation and charge reports to ensure completeness, accuracy and compliance with the Correct Coding Initiative Edits; evaluates and report audit findings or reviews and reports on results to physicians and/or operations directors; evaluate insurance requests and claim denials to assist the Business Office with the revenue cycle.Ensures data quality in compliance with State, Federal and regulatory requirements; codes all professional charges to ensure accurate and timely billing; perform coding reviews and/or surgical coding for practices and providers.Provides technical guidance, training, and on-going coding education when instructed, to physicians and their office staff and other ancillary departments on both general and specific coding issues to include documentation and guidance in quality coding for proper collection of health data.Manage work activities, work assignments and schedules to ensure accurate and timely submission of information; provides reports as requested on data collected, abstracted and coded.Review bulletins, newsletters and periodicals and attends workshops to stay abreast of current issues, trends and changes in the laws and regulations governing medical record coding and documentation.Demonstrates dependability, teamwork, and maintains patient confidentiality; develops and maintains excellent relationships with providers, provider's staff, operational directors, and business office staff.Strives to be a productive member of this institution, attends departmental meetings as required, maintains certification, and obtains continued education units (CEU).Completes all other duties, projects and assignments as directed/requested.QualificationsPreferencesSpecial Position RequirementsWork RequirementsDate Staff Position Description Created / Revised: 03/21/2019; 8/12/2026