The Coder Credentialed accurately codes and abstracts medical information for billing and statistical purposes, and entering the information into a computerized database. Working independently under general supervision, this role ensures timely coding and completion of patient accounts to meet established department standards and/or goals.
Essential Job Function:
- Maintains timely coding and completion of patient accounts to meet established department and regulatory standards and goals.
- Maintains accuracy in accordance with department and regulatory standards.
- Monitors uncoded accounts and performing other workflow processes to ensure optimal revenue cycle performance.
- Interacts with clinical staff and providers to improve documentation in order to accurately reflect severity of illness and appropriately support medical necessity and claims submission.
- Completes all mandated education prior to deadline.
- Collaborates with other team members to assist in the continuing education of the coding profession and ensure optimal performance.
- Performs other duties as assigned.
Education:
- Required: High School Diploma or equivalent.
Experience:
- Required: 3 years
Licensure/Certification/Listing:
- Required: American Health Information Management Association (AHIMA) - Registered Health Information Administrator (RHIA), or Registered Health Information Technician (RHIT), or Certified Coding Specialist (CCS) or Certified Coding Specialist - Physician's based (CCS-P) OR from the American Academy of Professional Coders (AAPC) - Certified Profession Coder (CPC), or Certified Outpatient Coder (COC), or Certified Inpatient Coder (CIC).
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