Coder - Hospital

Coders - Hospital are responsible for technical coding includes the assignment of ICD-CM/PCS, CPT, and HCPCS codes, modifiers, selection of MD Diagnosis Related Groupings (MS-DRG), Ambulatory Payment Classification (APC), and coding for severity of illness. Interacts with medical staff, nursing, ancillary departments, provider offices, and outside organizations. Department: Medical Record Management. Hours: Full-time. Required: High School Diploma, CCA coding certification is preferred. Responsibilities: Assists physicians with record documentation needs by requesting clarification for additional information. Assists in educating physicians and ancillary staff members about documentation needed for coding process. Contacts physician offices and/or SBL departments as needed for diagnostic information to code the encounter. Assists with training new coding staff as requested. Codes all types of encounters as assigned and assists coworkers as needed. Codes and finals inpatient and outpatient services technical encounters based on established production standards. Meets quality standards of having 95% of diagnoses and procedures appropriately and/or correctly coded. Ensures data quality and optimum reimbursement allowable under the federal and state payment systems. Performs follow-up on encounters that need to be coded and finaled. Reviews and corrects all encounters that are rejected or denied. Reviews record thoroughly to ascertain all diagnoses/procedures. Codes all diagnoses/procedures in accordance to ICD-CM and CPT coding principles, official guidelines and regulations.