Using established policies and procedures, the Certified Coder translates narrative descriptions of diseases, injuries, and medical procedures into numeric or alphanumeric codes for billing purposes.
This role codes inpatient, observation, outpatient, clinic, ancillary, ambulatory surgery, series, and emergency room cases. Depending on experience and skill set, the coder may also handle highly complex inpatient records such as trauma, burns, open heart, and transplant cases.
Key responsibilities include:
- Reviewing inpatient, ambulatory, observation, emergency, and outpatient accounts to assign accurate ICD-10, CPT, and DRG codes
- Interpreting health record content to ensure diagnoses and procedures are supported by physician documentation
- Querying physicians when documentation is unclear or incomplete
- Meeting coding productivity standards and departmental goals
- Completing productivity data accurately and on time
- Reviewing and resolving billing edits, coding corrections, and DRG changes
- Responding to payer, auditor, and manager feedback and making necessary corrections
- Maintaining organized reference materials and promptly reviewing emails
- Working effectively in a remote setting and coming onsite when system, connectivity, or other issues affect performance
Requirements & Qualifications
- High school diploma or GED
- Formal education in ICD-9-CM/CPT coding, medical terminology, anatomy, pathophysiology, and disease processes
- At least 1 year of acute care coding experience or equivalent relevant experience
- Certification in one of the following: RHIT, RHIA, or CCS
- Preferred: Associate's or bachelor's degree in a healthcare-related field
Location
Cincinnati, Ohio, US
Employment Type
Full-time
Experience Level
Intermediate Level
Remote work allowed
Yes
Posted
1 month ago
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