Coder IV, Inpatient​/Certified

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Position Summary Reviews provider documentation and revises and/or assigns ICD-10-CM codes and CPT/HCPCS codes as appropriate, based on official coding guidelines. Researches and takes appropriate action on any coding/claim edits.

Coding focus is hospital acute and subacute inpatient encounters or hospital based interventional procedures

Principal Accountabilities Standards of Performance:
Respect, Integrity, Compassion, Collaboration, Stewardship, Accountability, Quality Education High  School Diploma required. Preferred Associate or Bachelor Degree in Health Information or a healthcare related discipline

Licenses and Certification

Required:

o RHIA, RHIT, or CCS (inpatient hospital) o RHIA, RHIT, CCS, or CIRCC (interventional hospital)
Experience and SkillsRHIA or RHIT– None.o CCS or CIRCC – 3 years inpatient or interventional coding require

Physical Activities Intermittent hand manipulation required

Intermittent lifting and carrying of 20 pounds which can be modified

Role Specific Responsibilities
1. Follows all coding policies, procedures, standard operating procedures
2. Effectively uses encoding software and reference materials to assign appropriate codes
3. Provider driven coding:
Reviews and accepts or revises code selection basedupon documentation and coding guidelines
4. Non – provider driven coding:
Reviews provider documentation and assigns appropriate codes based upon coding guidelines
5. Reviews coding edits and accurately resolves so encounter can be sent to claims.
6. Sends clear, respectful communications to provider inbasket or queries when additional information is needed before finalizing coding.
7. Identifies and communicates to Coding Lead/Supervisor/Manager any issues related to documentation, coding or systems that may impact quality, compliance, or productivity
8. Performs work que duties as assigned by Coding Lead/Supervisor/Manager
9. Maintains coding quality and productivity standards
10. Actively engages and makes meaningful contribution when participating in performance improvement initiatives, department meetings and other meetings as required
11. Maintains required CEU’sCompensation (Commensurate with experience):$26.10 - $40.46

To access our Benefits Guide/Plan Information, please click the link below:
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