Job Description

Job Summary

Under the general direction of the Director CDI/Coding or designee, the Medical Records Coder I will improve documentation, data quality and revenue cycle operations. The coder assigns International Classification of Disease system- 10 (ICD), CM, and PCS codes according to AHA – AMA Guidelines, CMS and NGS.

Core Job Responsibilities

• Assign diagnosis and procedure codes, for accurate and timely billing of most appropriate payer
• Audit charges and establish proper coding in collaboration with providers
• Initiate and follow up on queries with providers
• Assist departments with diagnostic and procedural coding
• Respond to Insurance, compliance and RAC denials
• Review and assist in the maintenance of coding related policies and procedures
• Perform other duties as required.

Education/Experience Requirements

Required:

• AS in Health Information Management , a related degree or equivalent experience
• Knowledge of EMR, Coding Software, and Microsoft Office
• Knowledge/understanding of modifiers, medical necessity & CCI edits
• Good Oral and Written Communication

Preferred:

• BS in Health Information Management
• Knowledge of Epic and 3M software

Licensure/Certification Requirements

PREFERRED:

• RHIA, RHIT, CCS, CCA, CPC, CIC Certification

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