Overview

The Coder I interprets medical documentation to assign the uniform classification system to meet mandated requirements such as Diagnosis Related Grouping (DRG) and Ambulatory Patient Group (APG) assignments under Medicare. The Coder abides by the Official Guidelines for Coding and Reporting. Assignments shall meet with medical staff approval. Embodies the Memorial Health System Performance Excellence Standards of Safety, Courtesy, Quality, and Efficiency that support our mission, vision and values.

Qualifications

Education:

• High School Diploma/Equivalent required

Licensure/Certification/Registry:

• Certified Coding Associate (CCA), Certified Professional Coder (CPC), Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA), successful completion of a coding program, or six months coding, health information, or relevant experience required.
• Certification must be current.

Experience:

• Previous coding, health information management, physician medical office, registration, or billing experience preferred.

Other Knowledge/Skills/Abilities:

• Demonstrates excellent knowledge of proper use of ICD-9, ICD-10-CM, ICD-10-PCS, and CPT-4 coding guidelines and principles, and AHA Coding Clinics.
• Knowledge of Revenue Cycle, Utilization Review, and Billing process desired.
• Demonstrates excellent interpersonal and communication skills.
• Demonstrates ability to work independently.
• Word processing/computer application experience and knowledge desired. Coding software familiarity preferred.

Responsibilities

• • SAFETY: Prevent Harm - I put safety first in everything I do. I take action to ensure the safety of others.

• • COURTESY: Serve Others - I treat others with dignity and respect. I project a professional image and positive attitude.

• • QUALITY: Improve Outcomes - I continually advance my knowledge, skills and performance. I work with others to achieve superior results.

• • EFFICIENCY: Reduce Waste - I use time and resources wisely. I prevent defects and delays.

The intent of this job description is to provide a representative summary of the major duties and responsibilities performed by incumbents of this job. Incumbents may be requested to perform tasks other than those specifically presented in this description.