Coder, Medical Billing and Coding, Medical Records

Job Description

This position is responsible for assigning ICD-10-CM and CPT-4 codes to hospital outpatient (i.e. lab, radiology and nuclear medicine, emergency department, clinics, urgent care, etc.) diagnoses and procedures documented in narratives in the charge system, which will determine reimbursement for the Medical Center. Performs other duties as assigned.

To qualify, you must meet all of the following requirements. Please note that unless specifically indicated, the required education and experiences may not be gained concurrently. In addition, qualifying work experience is credited based on a 40-hour workweek.

High school diploma or equivalent. Received ICD-10 training, coursework, or classes, within the last 2 years.

Except for the substitutions provided for elsewhere in these specifications, applicants must have had progressively responsible experience of the kind and quality described below, and in the amounts shown in the following table:
Class Title
Specialized Experience
Coding
Experience
Supervisory
Experience
Certification
Total Experience
Coder I
1
1
CCA or CPC-A or COC-A
2
Specialized

Experience:

Experience in a health information management department of a hospital or allied medical care facility which involved the performance of paraprofessional health information management work requiring the knowledge of the nature and uses of medical records, medical terminology and established health information management classification, coding, filing and indexing systems; and the ability to analyze and file medical records and prepare reports and summaries from medical records.

Coding

Experience:

Experience in a health information management department of a hospital or allied medical care facility which involved the performance of assigning codes from the listing of current ICD-CM/PCS, CPT-4 and HCPCS for all diagnoses and procedures and other services.

Coder I:
Valid CCA from AHIMA or CPC-A or COC-A from AAPC.

Coder II:
Valid CCS - P from AHIMA or CPC or COC from AAPC.

Coder III/IV:
Valid CCS from AHIMA or CIC or CEMC from AAPC

AHIMA (American Health Information Management Association):
CCA (Certified Coding Associate)
CCS - P (Certified Coding Specialist - Physician-based)
CCS (Certified Coding Specialist - hospital) [inpatient coding]
AAPC (American Academy of Professional Coders):
CPC-A (Certified Professional Coder-Apprentice)
COC-A (Certified Outpatient Coder-Apprentice)
CIC (Certified Inpatient Coder) [inpatient coding]
CPC (Certified Professional Coder for physician coding)
COC (Certified Outpatient Coder) [outpatient coding]
CEMC (Certified Evaluation and Management Coder)

** Certification for Coder II, III, or IV level may be substituted for the Coder I level.**

If a degree is used to substitute for the education requirement, it may not be used again towards the experience requirement. If work experience is used to substitute for education, it may not be used again to meet the experience…