Hospital Medical Coder I

Hospital Medical Coder I

GENERAL SUMMARY

Under general supervision, the Hospital Medical Coder I is responsible for the collection of relevant, pertinent, accurate and timely profile data configured and / or abstracted from the hospital’s outpatient clinics, therapies, and ancillary records. This position may code Emergency Department records as needed / requested by management; this includes effective use of relevant coding systems as well as recognizing what data can be abstracted, presented and interpreted for effective use throughout the hospital network. Reports to department management.

ESSENTIAL DUTIES AND RESPONSIBILITIES

Uses established coding guidelines to ensure the most effective and accurate coded profile on the patient.

Abstracts pertinent and accurate data from the clinical record.

Works with hospital and clinical staff to ensure that accurate and relevant patient data is collected, compiled and / or interpreted.

Performs other duties as assigned.

LICENSES AND / OR CERTIFICATIONS

RHIT, CPCH or CCS. AAPC Certifications also accepted.

MINIMUM EDUCATION AND EXPERIENCE REQUIREMENTS

May consider completion of anatomy & physiology, disease processes, and coding courses through an AHIMA approved program.

Knowledge of CPT procedure code modifier use, E & M leveling and outpatient groupers preferred.

WORKING CONDITIONS

Normal office environment with little exposure to excessive noise, dust, temperature and the like.

PHYSICAL REQUIREMENTS

Click here to view physical requirements.

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