Clinical Coder
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Before you apply
LocationHazard, KY, US; Harlan, KY, US
Typefull-time
SeniorityMid
Experience2+ yrs
DepartmentHealth Professional
Company size5,001–10,000 people
PostedOct 30, 2024 · 2y ago
Verified live3d ago
May no longer be actively hiring
Posted by the company on Oct 30, 2024100% of this company's open roles have been listed for 90+ days
At a glanceSummarised by Seekless from the posting.
2+ years of coding experience
Bachelor's or Associate Degree
Successful completion of RHIA or RHIT exam approved by AHIMA
Certified Coding Specialist (CCS) approved by AHIMA for inpatient or hospital outpatient coding
Registered Health Information Administrator (RHIA) approved by AHIMA for inpatient or hospital outpatient coding
Registered Health Information Technician (RHIT) approved by AHIMA for inpatient or hospital outpatient coding
Certified Procedural Coder - Hospital (CPC-H) approved by AAPC for hospital outpatient coding
Certified Coding Specialist - Physician (CCS-P) approved by AHIMA for physician services coding
Certified Procedural Coder (CPC) approved by AAPC for physician services coding
Certified Coding Associate (CCA) approved by AHIMA for professionals new to coding
CCA holders must obtain advanced certification within 5 years
Successfully complete coding assessments administered by ARH prior to employment
Skills
ICD-9-CM
HCPCS
CPT-4
Evaluation and Management
HBOC
3M
Overview
The Clinical Coder is responsible and accountable for reviewing medical record documentation and assigning codes for reimbursement and statistical purposes.
Responsibilities
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Maintains a working knowledge of coding fundamentals: ICD-9-CM coding for inpatient, outpatient, and/or physician services; HCPCS coding, namely CPT-4 for surgical procedures, for outpatient and/or physician services; and/or HCPCS coding, namely Evaluation and Management, for physician services.
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Maintains a working knowledge of coding guidelines: Official Guidelines for Coding and Reporting, American Hospital
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Association’s Coding Clinics, and/or American Medical Association’s CPT Assistant.
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Maintains a working knowledge of reimbursement as it relates to coding: the government prospective payment systems for inpatient, outpatient, and/or home health agencies, skilled nursing facilities, inpatient rehabilitation as well as other third party medical billing requirements.
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Assigns codes based on medical record documentation and seeks further clarification from physicians when documentation is unclear, illegible, or conflicting.Achieves and maintains a high level of accuracy and productivity in coded claims.
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Maintains a working knowledge of coding compliance.
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Works in conjunction with the Business Office to reconcile denied claims due to coding issues.
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Maintains a working knowledge of the HBOC and 3M system.
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May perform some coding audits for quality checks.
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May do some physician education.
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Performs other related duties as assigned.
Qualifications
Experience
• Must possess a minimum of two (2) years of coding experience.
Education
• Bachelor’s Degree or Associate Degree and successful completion of the examination for Registered Health Information Administrator (RHIA) or Registered Health Information Technician (RHIT) approved by AHIMA for inpatient or hospital outpatient coding.
Licenses & Certifications
• Certified Coding Specialist (CCS) approved by the American Health Information Management Association (AHIMA) for inpatient or hospital outpatient coding.
• Registered Health Information Administrator (RHIA) approved by AHIMA for inpatient or hospital outpatient coding.
• Registered Health Information Technician (RHIT) approved by AHIMA for inpatient or hospital outpatient coding.
• Certified Procedural Coder - Hospital (CPC-H) approved by AAPC for hospital outpatient coding.
• Certified Coding Specialist - Physician (CCS-P) approved by AHIMA for physician services coding.
• Certified Procedural Coder (CPC) approved by the American Academy of Professional Coders (AAPC) for physician services coding.
• Certified Coding Associate (CCA) approved by the American Health Information Management Association (AHIMA) for professionals new to the coding field.
Additional Requirements
• Individuals holding a CCA certification must obtain advanced certification as a CCS, CPC-H, CCS-P, or CPC, depending on coding specialty, within five (5) years of date of hire.
• All applicants for the Clinical Coder position must successfully complete and pass coding assessments administered by ARH prior to employment.
• Coding assessments include coding directly from sample patient charts.
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