CODER III
3-5 years experience preferred
Provides high level technical competency and subject matter expertise analyzing physician/provider
documentation contained in assigned Complex Outpatient (CO) and Inpatient health records (electronic,
paper and hybrid) to determine the principal diagnosis, secondary diagnoses, principal procedure and
secondary procedures. Provides appropriate Medical Severity Diagnostic Related Groups (MS-DRG),
Present on Admission (POA), Severity of Illness (SOI) & Risk of Mortality (ROM) assignments for
Inpatient records and accurate APC assignments and all required modifiers for Complex Outpatient
records.
Utilizes encoder software applications, which includes all applicable online tools and references in the
assignment of International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM)
diagnosis and procedure codes, Current Procedural Terminology (CPT)-4®/ Healthcare Common
Procedure Coding System (HCPCS) procedure codes, MS-DRG, POA, SOI & ROM assignments and
assignment of APC's and all required modifiers.
Utilizes coding guidelines established by the Centers for Medicare/Medicaid Services (CMS), American
Hospital Association (AHA) Coding Clinic for ICD-9-CM, American Medical Association (AMA) for CPT-4
codes and CPT Assistant, American Health Information Management Association (AHIMA) Standards of
Ethical Coding, Unified Revenue Organization/Ministry Organization (URO/MO) coding policies and
Trinity Health Coding Manual (TBA).
SKILLS AND CERTIFICATIONS
Bachelor's Degree in HIM preferred
Registered HIT and/or Certified Coding Specialist (CCS) preferred
Registered HIA preferred
1 year experience coding INPATIENT records
IDEAL CANDIDATE
The ideal candidate has at least 1 year experience coding inpatient records in an acute setting. Although the job description requires only an Associates, we are really looking for someone who a) has a Bachelor's degree in HIM, b) is a Registered Health Information Technician (RHIT), c) is a Certified Coding Specialist (CCS), or d) is a Registered Health Information Administrator (RHIA).
IDEAL CANDIDATE SHOULD HAVE WORKED FOR THE FOLLOWING COMPANY(IES): Other healthcare organizations comparable in size with acute inpatient coding experience.
All your information will be kept confidential according to EEO guidelines.
Direct Staffing Inc
Job details are sourced from the employer's original posting.
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