Coder I

General Summary

Collects, reviews, retrieves and codes Evaluation & Management services, Pathology, and minor procedures based on documentation in the medical record and reports for quality assessment, audit, and billing purposes.

Duties and Responsibilities

Essential Functions:

• Performs chart audits, reviewing for accuracy and compliance.
• Reviews operative reports and other documentation and assigns appropriate diagnosis (ICD-10) and procedure codes (CPT) for final billing.
• Researches and processes invoice corrections.
• Reviews and analyzes coding/billing procedures.
• Presents training and feedback concerning medical coding, compliance, and reimbursement to physicians/providers.
• Coordinates and implements reimbursement improvement activities with staff and providers.
• Adheres to WellSpan Coding Compliance Guidelines.

Common Expectations:

• Maintains job specific standards and expectations relative to productivity and quality.
• Prepares and maintains appropriate documentation as required.
• Maintains professional growth and development.
• Attends meetings as required.
• Provides outstanding service to all customers; fosters teamwork; and practices fiscal responsibility through improvement and innovation.

Qualifications

Minimum Education:

• High School Diploma or GED Required

Work Experience:

• Less than 1 year Relevant experience. Required

Licenses:

• Certified Professional Coder Apprentice Upon Hire Required or
• Certified Professional Coder Upon Hire Required or
• Certified Medical Coder Upon Hire Required or
• Certified Coding Specialist - Physician Based Upon Hire Required or
• Registered Health Information Technician Upon Hire Required

Knowledge, Skills, and Abilities:

• Knowledge of ICD-10-CM, CPT-4 coding, and HCPCS.
• Basic computer skills.