Job Summary Coder III
The Coder III is responsible for analyzing medical records for completion by Medical Staff, clinical or ancillary department; performing coding and abstracting functions; efficiently navigate the electronic medical record to find patient information required for coding; and accurately abstract medical records for quality assessment screens.
Licensure and Certification:
- CCS required
- RHIT or RHIA strongly preferred
Education:
- Associate Degree in Health Information Technology or Information Technology or equivalent is minimum requirement
- Medical Terminology
- Anatomy and Physiology
- AHIMA approved coding program or equivalent with documentation of successful completion.
Experience:
- Acute hospital experience in an acute care hospital, with three years of inpatient and outpatient coding experience utilizing automated encoder.
Knowledge and Skills:
- Extensive knowledge of ICD-9-CM and CPT
- Understanding of UHDDS
- Computerized medical records coding and abstracting experience – at least one year.
- Experience analyzing and manipulating data from medical records coding and abstracts. Knowledge of APCs, E&M coding, Modifier usage.
- Ability to utilize encoder at advanced level
- Ability to utilize computer to maintain current status of coding process
- Ability to code advanced level inpatient, outpatient and Emergency Department records
Physical Demands - Clerical/Administrative Non-Patient Care:
- Frequent sitting and standing/walking with frequent position change.
- Continuous use of bilateral upper extremities in fine motor activities requiring fingering, grasping, and forward reaching between waist and chest level.
- Occasional/intermittent reaching at or above shoulder level.
- Occasional/intermittent bending, squatting, kneeling, pushing/pulling, twisting, and climbing.
- Occasional/intermittent lifting and carrying objects/equipment weighing up to 25 pounds.
- Continuous use of near vision, hearing and verbal communication skills in handling telephone calls, interacting with customers and co-workers and performing job duties.
Key for Physical Demands
Continuous
66 to 100% of the time
Frequent
33 to 65% of the time
Occasional
0 to 32% of the time
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