Job Description

Job Title: Certified Coder

Reports To: Director Revenue Cycle Management

Department: Primary Commercial/Direct

FLSA Status: Non-Exempt

POSITION SUMMARY:

The Certified Coder abstracts clinical information from a variety of medical records, charts and documents and assigns appropriate ICD-10 and/or CPT-4 codes to patient records according to established procedures. Works with coding databases and confirms DRG assignments. Inputs and maintains data on procedures required for state or other reporting.

Essential Duties and Responsibilities:

• Codes Anesthesia charge tickets.
• Reviews CPT, ICD-10, ASA and HCPCS coding on charge tickets.
• Reviews anesthesia records for supporting documentation for charge tickets.
• Reviews medical records for supporting documentation for charge tickets.
• May require sending back to the providers for additional information.
• Review all incomplete or inaccurate charge tickets that are sent back from the billers for additional information and make necessary corrections.
• Identify cosmetic and/or prepaid cases and ensure two tickets are created, one for insurance and one for patient responsibility.
• Deliver coded charts to assigned box for delivery to billing department.
• Assist Billing and AR Department as needed.
• Communicates issues and questions to management when appropriate.
• Maintains strictest confidentiality.
• Adhere to all company policies and procedures.
• Adherence to and compliance with information systems security is everyones responsibility. It is the responsibility of every computer user to: Know and follow Information Systems security policies and procedures. Attend Information Systems security training, when offered. Report information systems security problems.

Non-Essential Duties and Responsibilities:

• Perform other duties as assigned

Minimum Qualifications:

• High School graduate or equivalent.
• CCS- P or CPC (Certified Professional Coder) certification from AAPC or AHIMA
  Experience:
• Minimum of 2 years coding experience in a healthcare business office is preferred.

Knowledge and Skills:

• Knowledge of CPT, ICD-10, ASA and HCPCS coding.
• Background in Medical Terminology required.
• Background in Anatomy and Physiology preferred, but not required.
• Knowledge of organization policies, procedures and systems.
• Skill in computer applications including MS Word, MS Excel.
• Skill in verbal and written communication.
• Skill in gathering and reporting information.
• Ability to work effectively with staff.
• Must have a pleasant disposition and be a team player.
• Ability to work independently with limited supervision.
• Must report to work consistently, on time, and for expected duration