HIM Coder-Level I

REPORTING RELATIONSHIPS

Reports to: Health Information Reimbursement Manager

GENERAL SUMMARY

Works under the supervision of the Health Information Reimbursement Manager. The primary job function of the HIM Coder Level I are to assign correct, ICD-10 and CPT codes to established diagnoses and procedures to outpatient (emergency room, same-day surgery, interventional radiology, observation and/or Urgent Care Center) and/or limited inpatient records. In some instances, may audit OP and /or IP records for charging accuracy. May be asked to add or delete charges for optimal reimbursement as well as compliance following coding and governmental guidelines. The level one coder has mastered a maximum of 2 work types. Performs other duties as assigned.

QUALIFICATIONS

Education:

• High School Diploma or successful completion of an equivalent High School Exam Required

• Medical terminology required

• Successful completion of an anatomy and physiology course preferred

• Enrolled in a formal coding training program within 90 days of hire required; with successful completion within 3 years of hire required.

Licensure:

• CPA, CPC or any other equivalent coding certification within 3 years of hire required

Experience:

• Previous coding experience preferred.

Interpersonal Skills:

• Must be able to gather and exchange information with physicians, nurses, and other hospital personnel as well as outside agencies (CMS).

Essential Technical/Motor Skills:

• Above average computer skills with the ability to type in order to input information into a computer.

Essential Physical Requirements:

• Ability to lift, push, carry, and file charts.

• Ability to sit and data entry for long periods of time.

Essential Mental Requirements:

• Ability to understand written and verbal directions in order to analyze a patient's medical record.

• Ability to concentrate and pay close attention to detail for an exceptional period of work time when reviewing and analyzing records.

Essential Sensory Requirements:

• Ability to see, interpret and read medical information.

Exposure to Hazards:

• None.

Other:

• N/A

JOB SPECIFIC DUTIES AND PERFORMANCE EXPECTATIONS

The following is a summary of the major job duties of this job. Other duties may be performed, both major and minor, which are not mentioned below. Specific activities may change from time to time.

1.Determines sequence of diagnoses according to uniform hospital discharge data set guidelines for emergency room, same-day surgery, interventional radiology outpatient ancillary records, and or inpatient records.

2.Has a high level of understanding of the human anatomy, physiology, pharmacology and medical terminology to assure coding and charging accuracy.

3.Maintains productivity and quality standards as set per work type comparable to national averages and benchmarks.

4.Performs other duties as assigned.

5.Pass the yearly HIM coding competency test at 70% or higher.

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Southern Ohio Medical Center is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to age, ancestry, color, disability, ethnicity, gender identity, or expression, genetic information, military status, national origin, race, religion, sex, gender, sexual orientation, pregnancy, protected veteran status or any other basis under the law.