Coder III

Job Summary Coder III

The Coder III is responsible for analyzing medical records for completion by Medical Staff, clinical or ancillary department; performing coding and abstracting functions; efficiently navigating the electronic medical record to find patient information required for coding; and accurately abstracting medical records for quality assessment screens.

Licensure and Certification -------------------------

CCS required RHIT or RHIA strongly preferred

Education ----------

Associate Degree in Health Information Technology or Information Technology or equivalent is minimum requirement

Medical Terminology -------------------

Anatomy and Physiology AHIMA approved coding program or equivalent with documentation of successful completion

Experience ----------

Acute hospital experience in an acute care hospital, with three years of inpatient and outpatient coding experience utilizing automated encoder

Knowledge and Skills -------------------

• Extensive knowledge of ICD-9-CM and CPT
• Understanding of UHDDS
• Computerized medical records coding and abstracting experience - at least one year
• Experience analyzing and manipulating data from medical records coding and abstracts
• Knowledge of APCs, E&M coding, Modifier usage
• Ability to utilize encoder at advanced level
• Ability to utilize computer to maintain current status of coding process
• Ability to code advanced level inpatient, outpatient and Emergency Department records

Physical Demands ----------------

Clerical/Administrative Non-Patient Care

• Frequent sitting and standing/walking with frequent position change
• Continuous use of bilateral upper extremities in fine motor activities requiring fingering, grasping, and forward reaching between waist and chest level
• Occasional/intermittent reaching at or above shoulder level
• Occasional/intermittent bending, squatting, kneeling, pushing/pulling, twisting, and climbing
• Occasional/intermittent lifting and carrying objects/equipment weighing up to 25 pounds
• Continuous use of near vision, hearing and verbal communication skills in handling telephone calls, interacting with customers and co-workers and performing job duties

Key for Physical Demands

• 66 to 100% of the time: Frequent
• 33 to 65% of the time: Occasional
• 0 to 32% of the time: Rare