Under the supervision of the Director or Manager, the Coder 2 is responsible for coding (using ICD-9-CM, HCPCS and/or ICD-10-CM) all diagnoses and visit applicable procedures for the Emergency Department, Infusions, Wound Care Clinic and Outpatient Ancillary encounters.
Major Position Responsibilities Assigned:
- Codes encounters using ICD-9-CM, HCPCS/CPT and/or ICD-10-CM coding guidelines according to Hospital-Based and quality monitoring criteria.
- Observes and reports unusual patterns in documentation (physician and/or nursing) that requires additional steps to research in order for coding to be completed.
- Responsible for on-going education to maintain current professional certification.
- Responsible for the review and comprehension of current information regarding coding and compliance issues.
- Adheres to the AHIMA Standards of Ethical Coding developed by the AHIMA Council on Coding and Classification.
- Performs other related duties as requested by Management.
Safety and Infection Control Responsibilities
- Responsible to maintain a safe and clean work environment, including unit based specific safety and infection control requirements.
- Six (6) months Emergency Department coding experience utilizing ICD-9-CM, and/or ICD-10-CM codes and CPT required.
- Internal transfers: will consider one year Coder 1 experience at Tri-City Medical Center in lieu of 6 months Emergency Department coding experience.
- Wound Care Clinic encounters & Infusion Center coding experience utilizing ICD-9-CM, CPT and/or ICD-10-CM codes, preferred.
- Successful completion of coding skills assessment with a score of at least 80% that evaluates application of candidate’s knowledge, required
- Knowledge of medical terminology, anatomy and physiology, compliance and reimbursement guidelines as would normally be acquired through completion of an AA degree in Health Care Management or related field, preferred.
- Intermediate computer skills, required.
- Detail oriented with strong analytical skills, required.
- Ability to demonstrate flexibility in response to unexpected change in work volume and work schedule, required.
- Excellent human relations’ skills including listening, conflict resolution, and team building, required.
- High school diploma or GED, required.
Certifications: Requires 1 of the following:
- Current Registered Health Information Technician (RHIT)
- Current Certified Coding Specialist (CCS)
- Current Certified Coding Associate (CCA)
- Current Certified Professional Coder (CPC)
- Current Certified Professional Coder Outpatient Hospital (CPC-H)
- Current Registered Health Information Administrator (R.H.I.A)
- Current Certified Inpatient Coder (CIC)
Each new hire candidate who is offered employment must pass a physical evaluation, urine drug screen and pre-employment background checks before starting work.