POSITION: Certified Coder
POSITION SUMMARY: Position audits medical charts and records for compliance with federal coding regulations and guidelines. Uses knowledge of clinical coding to provide second level review of codes assigned to medical diagnoses and clinical procedures, ensuring that medical billing conforms to legal and procedural requirements. Assists with formal training programs by assessing performance levels, determining training needs, and formulating training materials. Assists in the review, development and modification of policies, procedures and/or systems to achieve and maintain compatibility with billing requirements.
ESSENTIAL FUNCTIONS AND JOB RESPONSIBILITIES:
High School graduate or GED equivalent is required. Certified Coding Specialist (CCS); Certfied Coding Specialist – Physician Based (CCS-P); Certified Professional Coder (CPC); Registered Health Information Technician (RHIT) or eligible required. Previous coding experience preferred. Certified coder aapc or ahima
Knowledge, Skills, and Abilities:
Prior experience directly related to the duties and responsibilities specified is preferred. Knowledge of medical terminology and medical coding. Knowledge of patient care charts and patient histories. Knowledge of legal and policy constraints pertaining to patient billing. Knowledge of auditing concepts and principles. Computer literacy as well as knowledge of Microsoft Outlook, Excel and Word. Ability to analyze and problem solve. Ability to gather data, compile information and prepare reports. Ability to communicate effectively, verbally and in writing. Ability to provide guidance and coding support to employees in any clinical area. Ability to work with staff to successfully implement new coding policies and procedures in any clinical setting as well as formulate training materials. Ability to communicate technical information to non-technical personnel. Ability to assess provider compliance with billing regulations and define areas in which additional training is required to meet standards. Ability to use independent judgment to manage and impart confidential information.