The Medical Coder is responsible for assigning ICD-10 and/or CPT/HCPCS codes as appropriate, and abstracts pertinent information from patient records.
- Must hold at least one of the following certifications: CCS, RHIT, RHIA, COC
- Must have a minimum of 3 years relevant coding experience
- Experience coding in a Level I or Level II Trauma Facility
Essential Duties and Responsibilities:
- Assigns ICD-10 and/or CPT/HCPCS codes, as appropriate and abstracts pertinent information from patient records
- Ensures optimal reimbursement of all cases in compliance with CMS policies and procedures and Official Coding Guidelines
- Implements medical center's physician query process when code assignments are not straightforward or documentation in the medical record is inadequate, ambiguous or unclear for
- coding purposes
- Keeps abreast of coding guidelines and reimbursement reporting requirements
- Brings identified concerns to the Professional Recruiter who will direct as needed
- Abides by the Standards of Ethical Coding as set forth by the American Health Information
- Management Association
- Adheres to Official Coding Guidelines, CMS policies and regulations and Medical Center's policies and procedures
- Ensures client's production and quality expectations are met
- Communicates professionally and effectively with clients, coding staff, and Maxim corporate staff
- Demonstrates effective time management skills by completing assignments within time constraints and calendar schedule
- Completes work assignments independently
- Engages in professional development activities to maintain professional certification
- Downloads pertinent software
- Reviews material included in the Welcome Packet and returns all paperwork requiring completion
- Reviews coding reference material provided including Medical Center specific coding procedures
- Participates in orientation training activities and review material provided
- Completes production log and submits to MHIS Remote and Professional Recruiter
- Completes coding of all discharges/encounters ensuring the minimum productivity requirement are met
- Password-protects all documents containing PHI sent to client or corporate
- Reviews any reference material provided
- If unable to work on a given day, reports absence as soon as possible to the Professional Recruiter or Operations Manager
- Submits vacation or personal day requests to the Professional Recruiter with at least one week notice
- Performs other duties as assigned/necessary
Minimum Requirements:
- Ability to effectively elicit/provide information to and from appropriate individuals (including, but not limited to, supervisors, co-workers, clients) via strong communication skills; proficiency in the English language may be required
- Computer proficiency required
- Must be at least 18 years of age
- Competitive pay & weekly paychecks
- Health, dental, vision, and life insurance
- 401(k) savings plan
- Awards and recognition programs