Med Rec 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.

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
• Certified Professional Coder (CPC) from American Academy of Professional Coders (AAPC) or Certified Medical Coder (CMC) from Practice Management Institute preferred