Med Records Coder III, Complex

The Medical 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

The Medical 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; 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 and 2 years of experience as a medical coder; 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; 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); Certified Professional Coder (CPC) from American Academy of Professional Coders (AAPC) or Certified Medical Coder (CMC) from Practice Management Institute