POSITION SUMMARY: Responsible for ensuring optimum reimbursement based on accurate coding and for maintaining a quality patient clinical database. Assigns accurate diagnosis and procedure codes and captures pertinent clinical data elements on all inpatient/outpatient medical records of discharged patients. Reviews E&M levels selected by physicians on a monthly basis and provides feedback in order to increase awareness and accuracy.

MINIMUM QUALIFICATIONS:

EDUCATION: High school diploma or equivalent.

CERTIFICATION/LICENSES: CPC, CPC-H, (CPC highly desirable over the CPC-H); ICD-10 Certification. Credentials must be maintained.

SKILLS:

• Computer and data entry skills, thorough understanding of ICD-9-CM, ICD-10-CM, HCPC and CPT-4 classification systems.

EXPERIENCE: One years experience as a certified coder (actual coding and abstracting from documentation) in physician practice setting. In lieu of one full year certification, coder must be a certified CPC for a minimum of 6 months and must have minimum of 3 years of actual abstract coding experience. Coder will be given an internal coding assessment within 3 months of hire.

NATURE OF SUPERVISION:

-Responsible to: Director of Coding, Medical Group

ENVIRONMENT:

- Bloodborne pathogens - A

General office environment. Knowledge of general safety standards. Exposure to hazards from electrical/mechanical/power equipment.

PHYSICAL REQUIREMENTS: Continuous sedentary position with intense mental concentration at least 8 hours per day, using sound ergonomic principles. Data entry up to four hours a day. Light physical effort (able to lift/carry up to 10 lbs.) Occasional reaching, stretching, bending, kneeling.