Medical Coder I​/II​/II

Overview

PRIMARY FUNCTION:

The incumbent performs highly technical and specialized functions by reviewing, analyzing, and coding diagnostic and procedural information that determines Medicare, Medicaid and private insurance payments. The primary function of this position is to perform medical coding for continuing patient care and reimbursement. The coding function is a primary source for data and information used in health care, and promotes provider/patient continuity, accurate database information, and the ability to optimize reimbursement.

The coding function(s) ensures compliance with established coding guidelines, third party reimbursement policies, regulations and accreditation guidelines. The potential for working remotely does exist as long as the factors in the remote workers policies can be met.

NECESSARY

QUALIFICATIONS:

Education
:

High School Diploma or GED

Experience
:

Certified Medical Coder I

• Must have at least three (3) months to a year of experience with medical coding

Certified Medical Coder II

• Must have two (2) years of medical coding experience

Certified Medical Coder III

• Must have five (5) years of medical coding experience

Certifications
:

• Must have and maintain current coder certification with AHIMA/AAPC

Other

Skills and Abilities:

A record of satisfactory performance in all prior and current employment as evidenced by positive employment references from previous and current employers. All employment references must address and indicate success in each one of the following areas:

• Possession of high ethical standards and no history of complaint
• Reliable and dependable; reports to work as scheduled without excessive absence
• Positive working relationships with others
• Maintains a positive professional attitude and demonstrates good interpersonal communication skills
• Advance knowledge of medical terminology, abbreviations, techniques and surgical procedures; anatomy and physiology; major disease processes; pharmacology; and the metric system to identify specific clinical findings, to support existing diagnoses, or substantiate listing additional diagnoses in the medical record
• Knowledge of official coding conventions and rules established by the American Medical Association (AMA), and the Center for Medicare and Medicaid Services (CMS)
• Completion of and above-satisfactory scores on all job interviews, demonstrating to the satisfaction of the interviewees and TCRHCC that the applicant can perform the essential functions of the job.
• Successful completion of and positive results from all background and reference checks, including positive employment references from authorized representatives of past and current employers demonstrating to the satisfaction of TCRHCC a record of satisfactory performance and that the applicant can perform the essential functions of the job
• Successful completion of fingerprint clearance requirements, physical examinations, and other screenings indicating that the applicant is qualified to be employed by TCRHCC and demonstrating to the satisfaction of TCRHCC that the applicant can perform the essential functions of the job
• Submission of all required employment-related documents, applications, resumes, references, and other required information free of false, misleading, or incomplete information, as determined by TCRHCC.

The physical and mental demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.

Physical:

Prolonged standing, regular reaching, bending stooping, moderate lifting in the performance of assigned duties. May work nights, weekends, and holidays. Manual dexterity, visual acuity, and the ability to speak and hear are required. Physical demands of this position are prolonged sitting and occasional standing, walking, driving, bending, climbing, kneeling, crouching, twisting, and maintaining balance.

Mental:

Must carry out daily duties and project assignments in an independent manner utilizing knowledge and experience of the section time limits, procedures, and objectives to establish individual work priorities. High levels of mental concentration are required. Mental demands of this position are prolonged ability to concentrate, work alone, and adapt to shift work, frequently work in close crowded areas, occasional ability to cope with high stress level, make decisions under high pressure, manage altercations, be highly flexible, handle multiple priorities in stressful situation, have a high degree of patience, and cope with anger/fear/hostility of others.

Environmental:

Employee will occasionally be exposed to infectious disease, chemical agents, dust, fumes, gases, extremes in temperature or humidity, hazardous or moving equipment, unprotected heights, and loud noises.

ESSENTIAL FUNCTIONS:

Certified Medical Coder I

• Relies on instruction…