Coder III

Duties : Position Summary :

• Reviews clinical documentation and diagnostic results and applies appropriate ICD-10-CM, and CPT-4 codes.
• Codes are used for billing, internal and external reporting, research and regulatory compliance activities.
• Resolves billing related errors and assists with workflow changes and process improvement projects.
• Meets ongoing productivity and quality standard of 95% accuracy rate or better.
• Verifies that all ICD-10 codes are correctly captured.
• Verifies that physician is correctly abstracted.
• Keeps abreast of coding guideline changes.
• May identify chargeable items for facility level for given department.
• May assign codes for diagnoses and treatment for ancillary outpatient encounters.
• Abides by the standards of Ethical Coding as set forth by the American Health Information Management Association (AHIMA) and adheres to all official coding guidelines.
• Performs other duties as assigned.
• Additionally, the Coder III utilize0s technical coding principles and APC reimbursement expertise to assign appropriate ICD-10-CM and CPt-4 procedures.
• Assigns codes for diagnoses, treatment and procedure for multiple specialized departments, including Outpatient ancillary, Emergency Department, and Inpatient and Outpatient Surgery.
• Determines the correct principal diagnosis, co-morbidities, complications, secondary conditions and surgical procedures.
• Assigns MS-DRG, Present on Admission (POA) indicators, Hospital Acquired conditions), and accurately abstracts discharge dispositions.
• Queries physicians per established policy and procedure when documentation is not clear or conflicting.