Coder, Medical Records, Healthcare Administration

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Overview

Codes diagnoses and procedures of patient records and abstracts information at defined facilities for reimbursement, research, and to generate statistical data. Performs other duties as assigned.

Responsibilities

• Codes diagnoses and procedures of inpatient records.
• Abstracts information by reviewing records for reimbursement, statistical purposes for daily operations, medical staff, and regulatory agencies.
• Serves as a resource to physicians, physician office staff, clinical documentation specialists, case managers, etc.
• Completes assigned goals.

Requirements, Preferences and Experience

Education

Minimum:
Skill in communicating clearly and effectively using standard English in written, oral, and verbal formats to achieve high productivity and efficiency. Skill to write legibly and record information accurately as necessary to perform job duties.

Experience

Minimum:
Skill and proficiency in coding inpatient records at defined Tier 1 hospitals utilizing ICD-CM and CPT through at least 3 years of experience in an acute care facility; 5 years preferred.

Training

Preferred: CPT Coding.

Minimum: ICD-CM Diagnosis and Procedure Coding.

• Mid-Senior level

• Other

• Engineering and Information Technology

• Hospitals and Health Care

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