The Coder III reviews inpatient records and accurately assigns appropriate ICD-10-CM/PCS codes according to established guidelines with a 97% accuracy rate, while maintaining coding standards for productivity. This position must preserve confidentiality of health information. This position must be able to use tact and diplomacy when communicating with employees, physicians, administration, and public, under complex or emotional situations.
- Reviews patient records and accurately assigns appropriate ICD-10-CM/PCS codes according to established guidelines.
- Meets Productivity Standard for Inpatient Coding: 17 charts/day.
- Understands appropriate assignment of MS-DRG, POA, and discharge disposition.
- Assists with all levels of coding including inpatient, outpatient, and psych.
- Works as a team member to achieve goals for the department.
- Assists with data integrity audits, and corrects errors as needed (invalid codes, discharge codes, etc.).
- Monitors backlog of un-coded records on a daily basis, reports to Manager, and adjusts work schedule accordingly.
- Assists in identification of potential identity errors.
- Ensures Coding Clinics are reviewed and applied appropriately.
- Maintains current knowledge/certification.
Minimum Work Experience
- 2 years Coding experience in a hospital setting with inpatient/MS-DRG coding Required
- 2 years Experience in regulatory issues related to Medicare and other third party payers as is relates to hospital coding and billing Required
Licenses and Certifications
- Graduation from an accredited coding program Upon Hire Required
- Registered Health Information Administrator (RHIA_AHIMA) Upon Hire Required or
- Registered Health Information Technician (RHIT_AHIMA) Upon Hire Required or
- Certified Coding Specialist (CCS_AHIMA) Upon Hire Required or
- Certified Coding Associate (CCA_AHIMA) Upon Hire Required or