Coder III

Job Summary Coder III

The Coder III is responsible for analyzing medical records for completion by Medical Staff, clinical or ancillary department; performing coding and abstracting functions; efficiently navigate the electronic medical record to find patient information required for coding; and accurately abstract medical records for quality assessment screens.

Licensure and Certification:

• CCS required
• RHIT or RHIA strongly preferred

Education:

• Associate Degree in Health Information Technology or Information Technology or equivalent is minimum requirement
• Medical Terminology
• Anatomy and Physiology
• AHIMA approved coding program or equivalent with documentation of successful completion.

Experience:

• Acute hospital experience in an acute care hospital, with three years of inpatient and outpatient coding experience utilizing automated encoder.

Knowledge and Skills:

• Extensive knowledge of ICD-9-CM and CPT
• Understanding of UHDDS
• Computerized medical records coding and abstracting experience – at least one year.
• Experience analyzing and manipulating data from medical records coding and abstracts. Knowledge of APCs, E&M coding, Modifier usage.
• Ability to utilize encoder at advanced level
• Ability to utilize computer to maintain current status of coding process
• Ability to code advanced level inpatient, outpatient and Emergency Department records

Physical Demands - Clerical/Administrative Non-Patient Care:

• Frequent sitting and standing/walking with frequent position change.
• Continuous use of bilateral upper extremities in fine motor activities requiring fingering, grasping, and forward reaching between waist and chest level.
• Occasional/intermittent reaching at or above shoulder level.
• Occasional/intermittent bending, squatting, kneeling, pushing/pulling, twisting, and climbing.
• Occasional/intermittent lifting and carrying objects/equipment weighing up to 25 pounds.
• Continuous use of near vision, hearing and verbal communication skills in handling telephone calls, interacting with customers and co-workers and performing job duties.