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Full-time Medical Coder III

at Mercy in Cedar Rapids, IA

Health Information ManagementCedar Rapids, IA
Full Time, Day, M-F flexible day shift

Full time, 40 hours per week. May work from home following successful orientation. May be filled as Coder I, II or III based on skill set and certifications of candidate.

This position supports Mercy's philosophy of patient centered care by the timely and accurate coding of hospital or professional services using ICD-9-CM and CPT/HCPCS classification systems for the purpose of reimbursement, research, and statistics in compliance with federal regulations.
Job Specific Duties/Essential Functions
Codes the correct principal/primary diagnosis consistent with established coding guidelines (95% or greater accuracy).
Identifies all significant diagnoses (complications and co-morbidities) relevant to the type of visit and assigns appropriate codes.
Codes procedures as appropriate and identifies the principal procedure consistent with established coding guidelines.
Ensures all conditions coded adequately reflect the appropriate clinical severity and grouping assignment in accordance with documentation.
Obtains clarification from provider when documentation is incomplete or unclear to ensure accurate coding.
Follows official coding guidelines and directives and uses reference materials to ensure codes assigned are in compliance with state and federal regulations.
Validates outpatient accounts for medical necessity based on local medical review policies (LMRPs), national coverage determinations (NCDs) or payer guidelines.
Collaborates with the Clinical Documentation Specialists to improve overall quality and completion of clinical documentation in patient records.
Applies charge data as appropriate for services provided.
Completes coding consistent with established production standards for type of service.
Updates coding completion/status logs daily.
Assists with student internship coding training.

Position Specific Job Duties/Essential Functions
Codes accounts for hospital ancillary and recurring outpatient services.
Codes accounts for 2 or more additional areas of specialty of hospital services (e.g. inpatient, emergency, home health, outpatient surgery).
Verifies and corrects all abstract data captured.
Knowledge, Skills and Abilities
Knowledge of ICD-9-CM and CPT/HCPCS coding and medical necessity guidelines.
Knowledge of various coding groupers used for various payers and types of encounters.
Ability to read and interpret medical record documentation including laboratory and pharmacology data.
Knowledge of Microsoft Office tools (excel, outlook, word).
Strong computer background with basic typing and keyboarding skills.
Work prioritization skills needed.
Ability to concentrate on detail tasks for long periods of time.
Ability to work independently and communicate effectively.
Professional Experience- Required vs. Preferred

Three years previous coding experience required.
Education-Required vs. Preferred
Associate of Applied Science degree or Bachelor's degree in Health Information Technology or completion of coding certificate program preferred.
Licensure, Certification, Registration - Required vs. Preferred
Certification as a Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Coding Associate (CCA), Certified Coding Specialist (CCS), or Certified Coding Specialist - Physician (CCS-P) required.If education not met, CCS or CCS-P is required.
Physical Activity Requirements
Constant = 67-100% of workday
Repetitive motion

Frequent = 34-66% of workday

Occasional = 33% or less of workday

Physical Demand Requirements
Sedentary: Exert up to 10 lbs. of force occasionally and/or a minute amount frequently

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Published at 05-03-2017
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