Med Records Coder IV, Complex

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. May check the work of lower level Medical Coding staff and/or have assignment of multi-specialty departmental coding.

Responsibilities

Uses advanced knowledge of coding, coding systems, and system logic to translate medical 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. May check the work of independent charge entry/coding staff; Responds to coding information requests from various sources; Consults with internal customers and external vendors to obtain greater specificity and/or clarification when documentation appears inconsistent; Other duties as assigned.

Requirements

High School diploma or equivalent and 3 years of experience as Medical Coder; Knowledge of ICD-10CM, CPT and HCPSC; Working knowledge of medical terminology and anatomy

Nice to have

Associate's degree; AHIMA accreditation examination for RHIA or RHIT or CCS; Certified Professional Coder (CPC) from AAPC or Certified Medical Coder (CMC) from Practice Management Institute