Certified Coder I

ESSENTIAL DUTIES AND RESPONSIBILITIES:
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. This job description is not intended to be all-inclusive; employees will perform other reasonably related business duties as assigned by the immediate supervisor and/or hospital administration as required.

• Maintains utmost level of confidentiality at all times.
• Adheres to hospital policies and procedures.
• Demonstrates business practices and personal actions that are ethical and adhere to corporate compliance and integrity guidelines.
• Reviews the medical record and assigns the appropriate ICD and CPT codes.
• Codes assigned outpatient record types daily.
• Monitors the “uncoded DNB” work queue.
• Codes records in a timely manner.
• Maintains satisfactory coding performance in accordance with the department’s accuracy target and productivity requirements for each record type.
• Abstracts data into the patient abstract fields.
• Responds to coding requests from internal and external customers, i.e. business office, physician office.
• Requests diagnosis from physician’s office as needed.
• Participates in attending educational programs, hospital and departmental staff meeting.
• Performs other duties as required by Manager and/or Director.
   

EDUCATION AND/OR EXPERIENCE:

• High school diploma or general education degree (GED); or Associate's degree (A. A.) or equivalent from two year college or technical school; one to three years related experience and/or training; or equivalent combination of education and experience.
• 1 -2 years’ experience coding in an acute care hospital setting preferred.

CERTIFICATES, LICENSES, REGISTRATIONS.

• Certified as any of the following: CCA, CCS, CCS-P, CPC, CPC-H, RHTT or RHTA.
• Must maintain continuing education hours to maintain certification.