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Health Information Coder (Certified)

Category:

Health Information Management (HIM)

Description:

Analyzes, codes, abstracts, and compiles medical records of patients of health care delivery system to document patient condition and treatment by performing the following duties.

Essential Duties and Responsibilities:

· Assign codes to diagnoses and procedures, using ICD (International Classification of Diseases) and CPT (Current Procedural Terminology) codes

· Ensure codes are accurate and sequenced correctly in accordance with government and insurance regulations

· Verify and ensure the accuracy, completeness, specificity and appropriateness of diagnosis codes based on services rendered.

· Interact with physicians, staff, and mid-levels to ensure accurate coding.

· Follow up with the provider on any documentation that is insufficient or unclear

· Search for information in cases where the coding is complex or unusual

· Receive and review patient charts and documents for accuracy

· Ensure that all codes are current and active

· Support and participate in process and quality improvement initiatives.

· Monitor completion of medical records in accordance with time standards

· Know the insurance filing deadline for timely coding

· Strong knowledge of anatomy, physiology and medical terminology

· Excellent written verbal and communication skills

· Excellent computer skills

· Other duties as assigned

Education and/or Experience:

High school diploma required. Associates or above preferred. One year of inpatient coding or 2 years of medical coding experience required.

Certificates, Licenses, Registrations:

AHIMA or AAPC certification required.

Closing:

Open until filled

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