Qualified candidate is responsible for reviewing inpatient, outpatient, and emergency room records and accurately abstracting and assigning appropriate diagnosis and procedure codes using ICD-10 and CPT classification systems. Requires extensive knowledge in medical terminology, anatomy, and physiology, and coding guidelines. A coder is recognized as an expert and responsible for maintaining a 98% accuracy rate in the assignment of codes with the use of an encoder/grouper or book if deemed appropriate.

Associate must work in-house 6 months and show competency in working accurately and independently before working remotely.

Duties and Responsibilities:

• Receive and review patient charts and documents for accuracy
• Ensure that all codes are current and active
• Report missing or incomplete documentation
• Meet daily coding production
• Update and maintain document lists
• Ensure accurate charge entries
• Serves as resource regarding insurance resolutions and coding questions
• Follows coding guidelines and legal requirements to ensure compliance with federal and state regulations
• Performs additional duties assigned by Health Information Management Director as needed

Requirements and Qualifications:

• Medical Coding Certificate: CCA, CCS, RHIT, RHIA, or AHIMA license; meet state licensure requirements
• Maintain coding certification and attend in-service training as required
• Understanding of medical terminology, anatomy and physiology
• Ability to work independently or as an active member of a team
• Strong computer skills in data entry, coding, and knowledge of the EMR, and Microsoft Office applications
• Accurate and precise attention to detail
• Ability to multitask, prioritize, and manage time efficiently
• Excellent verbal and written communication skills
• Goal-oriented, organized team member
• Proficient in the use of an encoder/group
• Skilled in data entry
• High standards and work ethics
• Able to efficiently work under pressure
• Able to meet required deadlines
• Professional mannerism
• Ability to problem-solve and make appropriate decisions

Associate must work in-house 6 months and show competency in working accurately and independently before working remotely.