Medical Records Coder III, Complex

Role Overview

• 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
• Analyzes, enters and manipulates database
• Responds to or clarifies internal requests for medical information
• Uses 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
• Reviews and resolves coding denials
• Resolves problems with claims having errors related to improper coding and provides feedback for correction and follow-up
• Abstracts data and reviews codes for accuracy
• Performs system edit checks and corrects errors as needed
• Responds to coding information requests from various sources
• Communicates document improvement opportunities and coding issues to providers, department, and/or designated leader for follow up and resolution
• Consults with internal customers and external vendors to obtain greater specificity and/or clarification when documentation appears inconsistent or incomplete
• Other duties as assigned.

Requirements

• High School diploma or equivalent and 2 years of experience as a medical coder required
• Associate's degree preferred
• Knowledge of ICD-10CM, CPT and HCPSC required
• Working knowledge of medical terminology and anatomy required
• 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 or Certified Professional Coder (CPC) from American Academy of Professional Coders (AAPC) or Certified Medical Coder (CMC) from Practice Management Institute preferred