Coder I

The coding specialist reviews the medical record using coding skills and clinical knowledge. Accurate ICD-10 diagnosis and CPT procedure codes are assigned based on documentation in the medical record, which directly impacts reimbursement. The role also includes querying clinicians when clarification is needed.

Responsibilities

• Assign accurate ICD-CM diagnosis and CPT codes in a timely manner for appropriate encounters using CMS and American Hospital guidelines, CPT Assistant, and AHIMA code of ethics.
• Work with physicians and providers to help improve documentation so the medical record accurately reflects severity of illness and level of care provided.
• Participate in continuing education to enhance coding knowledge.
• Meet established productivity guidelines.
• Perform other duties as assigned.
• Demonstrate competency in Microsoft Windows.
• Participate in additional learning opportunities offered by MyMichigan Health.

Work Environment

• Exposure to stressful situations, public contact, trauma, grief, and death.
• May require use of personal protective equipment, including latex materials or an appropriate substitute.
• Sedentary physical demand level with occasional lifting or carrying of 0-10 lbs.