Med Records Coder III

The Med Records Coder III 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 (e.g. ICD-10, CPT-4, HCPCS, DRG). Analyzes, enters and manipulates database. Responds to or clarifies internal requests for medical information.

Responsibilities

Uses thorough knowledge of coding systems and system logic to review codes created by electronic charge capture and/or assign codes (ICD-10-CM, E/M, CPT, HCPCS and modifiers) 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; 1 year Medical Coder experience; Knowledge of ICD-10CM, CPT and HCPCS; Working knowledge of medical terminology and anatomy; Or equivalent combination of education and experience

Nice to have

Associate's degree in Health Information Technology or health related field; Additional coding experience in area of assignment; AHIMA accreditation examination for RHIA, RHIT, or CCS; Certified Professional Coder (CPC) from AAPC or Certified Medical Coder (CMC) from Practice Management Institute