Position Overview
Under direct supervision, the Coder is responsible for abstracting and coding patient records in compliance with coding, billing, and data collection guidelines. This role is typically responsible for less complex coding using established clinical protocols.
Responsibilities
- Abstract information from medical records into the appropriate coding systems while following established guidelines.
- Determine the most appropriate diagnosis after reviewing medical records.
- Work closely with practice staff on coding and assignment of MS-DRGs and APCs.
- Code medical records using ICD-10-CM and CPT-4 coding rules and guidelines.
- Ensure accurate and compliant coding to support patient records and billing for payment.
- Sequence diagnostic and procedural codes according to organizational procedures and assign MSDRG/APC as appropriate.
- Provide codes to various departments upon request.
- Enter and validate charges using appropriate tools and validate diagnoses against medical documentation.
- Compare charges with coded procedures, identify discrepancies, and notify the Coding Manager as needed.
- Visit assigned clinics as needed to maintain strong relationships with providers and staff.
- Perform other duties as assigned.
Requirements & Qualifications
Qualifications
- High school diploma or equivalent required.
- Associate's degree in a related field preferred.
- Completion of college-level coursework in medical terminology, anatomy and physiology, disease processes, and pharmacology preferred.
- Completion of an ICD-10 or CPT coding course required.
- Current or valid certification preferred, including one of the following:
- AHIMA: RHIT, RHIA, CCS, or CCS-P
- AAPC: CPC-H or CPC
- Must maintain CMEs necessary to stay licensed and knowledgeable in the field.
- Ability to work as part of a team.
- Strong service orientation and commitment to meeting internal and external customer needs.
- Ability to achieve results and continuously seek improvements.
- Commitment to learning and professional growth.
- Strong communication and active listening skills.
- Ability to perform EKGs, draw blood, and administer injections.
- Ability to effectively communicate with staff and patients.
Physical Requirements
- Prolonged periods of sitting at a desk and working on a computer.
- May require prolonged periods of standing, moving, and bending.
- Must be able to lift up to 50 pounds at times.
Location
Arkansas, US
Employment Type
Full-time
Experience Level
Entry Level
Remote work allowed
No
Posted
1 month ago
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