Coder I, Medical Records

Description

Location: Main Campus
Department: MEDICAL RECORDS
Schedule: Full Time, 8 HR Day Shift,

SUMMARY

POSITION SUMMARY Analyzes outpatient medical records to assign both ICD-10 and CPT codes to diagnoses and procedures. Abstracts pertinent information into hospital information system. Codes all outpatient types including Emergency, Outpatient Surgery, Observations and various clinics. Uses 3M encoder and grouper as well as verifies codes in books. Maintain a productivity log daily. The coder may interact with physicians as well as other health professionals to confirm documentation in the medical record. Maintains a minimum 98% accuracy and 95% productivity rate.

KNOWLEDGE, SKILLS & ABILITIES:

• Professional communication skills for dealing with physicians and other hospital staff
• Flexibility in scheduling.
• Minimum one year outpatient coding experience preferred.
• Experience will be considered and requires knowledge of anatomy and physiology, medical terminology, ICD-10 and CPT coding.
• Typing skills for use of computer keyboard.
• Analytical with attention to detail while maintaining ability to make decisions based on available documentation.
• Associates Degree from a certified health information technology program with certification as an RHIT preferred.