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Short Description
Coder III demonstrates proficiency in coding high acuity inpatient accounts and/or coding of technical outpatient accounts including, but not limited to Observation, Radiation Oncology, Chemotherapy Infusion, Cardiac Cath/Electrophysiology or Interventional Radiology and Surgery to support Revenue Cycle goals for timely billing.
Utilizes International Classification of Disease (ICD-10-CM and PCS), Healthcare Common Procedure Coding System (HCPCS) including Current Procedural Terminology (CPT) and other coding references to ensure accurate coding
Examines the complete medical record to accurately determine the principal & secondary diagnoses, procedures, and complications.
Accurately sequences diagnoses & procedures, maintains 95% accuracy.
Strives to obtain the optimal DRG assignments on each record coded with assistance of computer system.
Demonstrates a consistent level of performance; strives to maintain a steady level of productivity in accordance with the Department's Productivity Goals. .
Appropriately holds accounts when more information is required for accurate code/DRG assignment. Contacts appropriate staff (CDI/Leadership/Medical Staff) as needed.
Regularly reviews coding literature, keeps current on new or revised coding guidelines, shares information with colleagues, determined by colleagues' feedback and supervisor observation.
Completes all assignments as directed by management in a conscientious and reliable manner.
Expresses interest in and pursues continuing education both inside and outside the hospital.
Works as a team member to meet department goals.
Performs all related duties or special projects as assigned/required.
Experience Required
3-5 years
Applicant must have demonstrated proficiency in coding inpatient accounts, ICD-10, PCS coding and/or complex outpatient coding of Observation, Radiation Oncology, Chemotherapy Infusion, Surgery, Cardiology Cath, EP and/or Interventional Radiology.
Education Requirements
High School Diploma Required
Associate's degree Preferred
License/Certification Requirements
One or more of the following: RHIA, RHIT, CCS, CIC, COC, CPC, CCA, CCC, CIRCC, CCVTC and/or any of the Core Credentials or specialty credential of AAPC or AHIMA
