Coder

The Coder is responsible for accurately abstracting selected data elements from each medical record for entry of coding into medical billing software. The Coder codes reports in a timely manner and has working knowledge of coding guidelines. The Coder demonstrates the ability to work in a fast-paced coding environment, possesses basic knowledge of revenue cycle, and understands the role of financial reports used to manage un-coded accounts. The Coder may be cross trained in other functions of the revenue cycle, such as charge entry.

Responsibilities

• Assigns ICD-10-CM and CPT-4 codes according to the Official Guidelines for coding and reporting.
• Adheres to HIM policies regarding diagnosis and procedure code assignment and abstraction.
• Accurately abstracts selected data elements from each record into the clinical management system to ensure the accuracy of various ASC databases.
• Informs management of any issues or concerns regarding documentation in the medical record.
• Collaborates with coding clerk and / or supervisor to ensure all cases are coded within timeframes specified in guidelines.
• Maintains a coding compliance score of 92% to 95%.
• Maintains established productivity standards.
• Attends mandatory educational sessions and earns 10 continuing education credits per calendar year.
• Refers all coding / billing inquiries from internal or external sources to other coders for peer-review.
• Retrieves medical records to be coded and abstracted in an accurate and timely manner to ensure daily entry of charges by the billing team.
• Must be willing to attend seminars for education in coding and billing.
• Must be willing to attend software training to keep up with advances in information technology.

Qualifications & Experience

J-18808-Ljbffr