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Coder III : Remote

LanceSoft Inc | Costa Mesa | www.resume-library.com |
Duties:

-Reviews clinical documentation and diagnostic results and applies appropriate ICD-10-CM, and CPT-4 codes.
 •  Codes are used for billing, internal and external reporting, research and regulatory compliance activities.
 •  Resolves billing related errors and assists with workflow changes and process improvement projects.
 •  Meets ongoing productivity and quality standard of 95% accuracy rate or better.

-Verifies that all ICD-10 codes are correctly captured.
 •  Verifies that physician is correctly abstracted.
 •  Keeps abreast of coding guideline changes.
 •  May identify chargeable items for facility level for given department.
 •  May assign codes for diagnoses and treatment for ancillary outpatient encounters.
 •  Abides by the standards of Ethical Coding as set forth by the American Health Information Management Association (AHIMA) and adheres to all official coding guidelines.
 •  Performs other duties as assigned.

-Additionally, the Coder III utilize0s technical coding principles and APC reimbursement expertise to assign appropriate ICD-10-CM and CPt-4 procedures.
 •  Assigns codes for diagnoses, treatment and procedure for multiple specialized departments, including Outpatient ancillary, Emergency Department, and Inpatient and Outpatient Surgery.

-Determines the correct principal diagnosis, co-morbidities, complications, secondary conditions and surgical procedures.

-Assigns MS-DRG, Present on Admission (POA) indicators, Hospital Acquired conditions), and accurately abstracts discharge dispositions.
 •  Queries physicians per established policy and procedure when documentation is not clear or conflicting.

Skills: Required Skills & Experience:

 •  Five years of progressive inpatient coding experience in an acute care facility.

Preferred Skills & Experience:

 •  N/A

Education: Required Education:

 •  High school diploma or equivalent required.

Preferred Education:

 •  N/A

Required Certifications & Licensure:

 •  Completion of a certified coding program or graduate of a CAHIM accredited HIT program required.
 •  CCS Credential.

Preferred Certifications & Licensure:

 •  N/A