- High School/GED
1. High School diploma or equivalent.
2. 2-3 years experience in coding training.
3. Data entry ability required.
4. Self starter with organizational skills, must be able to function as a team member.
5. Thorough knowledge of classification and nomenclature anatomy, medical terminology, and health information management procedures and practices.
6. Understanding of ICD-9-CM and CPT-4 coding guidelines and practices.
7. Knowledge of computers and related hardware and software, printers, telephone system and standard office equipment.
1. Accurately assigns diagnosis and procedure codes utilizing appropriate coding guidelines.
2. Coding is consistent with applicable regulations, including the official coding promulgated by CMS and American Health Information Management Association and compliance policies.
3. Communicates with physicians/physician offices to clarify diagnosis or procedures for appropriate code assignment when documentation is unclear. This standard is based on the departmental goal of <5% error rate. This score may be adjusted based on years of coding experience, demonstrated improvement in accuracy and other factors.
4. Organizes and prioritizes daily billing and processes HCFA - 1500 forms and/or UB 92 forms as required.
5. Is a resource person for coding issues, including compliance and appropriateness of coding. Works with clients, co-workers, medical personnel, and outside medical personnel and facilities.
6. Coders are key individuals that may catch lost charges. This information is communicated to Manager and/or Facility Director (s). Follows-up with office requests for missing codes or information. Reports coding issues to Manager of designee.
7. IT support for opening doctor schedule templates. Responsible for creating doctor call schedules and disseminating.