Job Description

Position Summary: Identifies, reviews, interprets, codes and abstracts clinical information from inpatient, emergency room, surgery, physician, or long-term setting records and assign correct ICD-9 and CPT level codes.  Codes are assigned for the purpose of reimbursement and compliance with federal regulations and home health specific established coding principles and guidelines.  Responsibility includes identifying viable primary diagnosis and procedure as well as pertinent secondary diagnosis and procedures.  Follows sequencing and reporting procedures mandated by government and other payers for completion of coded data.  The Coder responsibilities include providing clinical and administrative data for billing and will provide clerical support related to coding functions.  In addition, the position extracts data regarding diagnosis, procedures, and identifies the correct ordering physician for accurate reporting.  The Coding Specialist assists and participates in quality improvement and peer review activities.  Must be detailed oriented; possess ability to perform duties with minimum supervision; ability to organize and record information appropriately and resolve problems independently.  Must be flexible in day-to-day actions and duties.  Position may work from home on some days.

Education Requirement:  Registered Health Information Administrator, Registered Health Information Technician or Certified Coding Specialist.  Associate Degree preferred.  Extensive knowledge of medical terminology, anatomy and physiology required.  Knowledge of ICD-9, CPT and modified usage required.

Experience Requirement:  One year experience in hospital coding required.  Two years experience in hospital coding is preferred.  Home Health coding experience preferred.  Excellent computers skills required.  Experience with computerized coding software preferred.