Medical Coder - RHIT / RHIA
The Coder will provide entry level coding edit support or entry level coding support following successful completion of an approved coding program. The Coder will work onsite at the facility. The Coder may be trained to do additional outpatient or professional fee coding and claim edits. The Coder will utilize the International Classification of Disease (ICD-10CM. ICD-10-PCS), Healthcare Common Procedure Coding System (HCPCS) and other coding references to ensure accurate coding. The Coder will abstract and enter required data. The Coder will perform all other duties as assigned by the Director.
Responsibilities of the Outpatient Coder role includes, is not limited to, the following:
- Analyzes and interprets documentation from medical records and completes accurate coding of diagnosis, procedures and professional fees.
- Reviews diagnostic and procedure codes and charges in the applicable documentation system to generate appropriate coding and billing.
- Communicates with providers for missing documentation elements and offers guidance and education when needed.
- Reconcile billing issues by determining the rationale for rejecting and correcting inaccurate charges.
- Works collaboratively with revenue cycle departments to ensure coding and edits are processed timely and accurately. Reviews and edits charges.
- Medical coding rules, regulations, and compliance utilizing ICD 10
- Anatomy, physiology, pharmacology and medical terminology
- Insurance processes and reconciliation regarding the denial process.
- High School diploma/GED equivalent, required
- Successful completion of an approved coding education program from AHIMA or AAPC, required
- RHIT or RHIA, preferred
- One of the following required: CCS, CCA, CPC, COC, CIC
· Ability to read and communicate effectively in English.
· Basic computer knowledge.