Overview: The Health Information Coder provides exceptional customer care to SMRMC consumer, visitor, and staff. The HIM Coder checks the coding queue daily, working the highest dollar and oldest accounts first using a complete electronic health encounter to select the most accurate and applicable codes to the encounter. The HIM Coder communicates with the Coding Supervisor and Billing Staff daily via Microsoft Teams or Paragon Tickler system so claims are resolved quickly and cleanly. Participates in bi‑weekly meetings, monthly, quarterly, and yearly coding education through various educational sources. Maintains coding certification and continuing education units. Must be willing to perform any task assigned by supervisor or Department Head to help complete tasks.
Responsibilities
Review and code patient encounters of all specialty types for Professional Fee Coding for outpatient clinic visits.
Ensure that all primary and secondary codes are accurately sequenced to focus on the patient's reason for the visit.
Report missing or incomplete documentation to the analysis area or submit queries to providers if necessary.
Meet daily coding productivity and quality standards set forth by the department.
Review charge code entries by providers for accuracy and make corrections as needed.
Serve as a resource regarding insurance denials and assist coding questions from the Revenue Cycle Back Office.
Adhere to and follow coding guidelines and legal requirements to ensure compliance with Federal and State regulations.
General Functions
Complete required continuing education to maintain coding credentials and license.
Support and assist the Coding Manager of HIM and Revenue Cycle leadership on special projects as requested.
Work directly with other departments and attend internal/external meetings and training.
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