Coder Long Term Care

The Coder Long Term Care assists with coding, maintaining resident medical records, and supporting health information systems in accordance with current federal and state guidelines and the organization’s established policies and procedures. This role works under moderate supervision and carries delegated administrative authority, responsibility, and accountability for assigned duties.

Essential responsibilities

• Maintain confidentiality of all resident care information, including protected health information.
• Support strong working relationships with inter-department personnel to ensure medical records are properly maintained.
• Safeguard user ID codes and passwords used to access resident and facility information.
• Report any known or suspected unauthorized attempts to access the facility information system.
• Ensure supplies are replenished, work areas remain clean, and records are properly stored at the end of the business day.
• Assist in billing functions by developing face sheets upon admission, applying diagnosis codes for billing and care planning, and obtaining/tracking certification and recertification forms.
• Perform other duties as assigned.