Coder - Health Information Management - Centre

Overview

The Coder is responsible for reviewing charge tickets for appropriate types of procedure code combinations, including necessary modifiers. This individual accurately codes or corrects all diagnoses and procedures for appropriate reimbursement for specific payors, keeping in mind the supervision and documentation requirements. The Coder enters all office charges and payments. Further, he/she monitors ongoing changes in coding methodology and proactively educates self, staff and physicians to changes which may affect compliance or reimbursement.

The qualified candidate will possess the following:

A. Education
1. High school diploma or GED from an accredited institute required
2. Associate's degree, CCS or equivalent work and education experience in lieu of associate's required
3. Bachelor's degree in business or clinical field preferred

B. Experience
1. Minimum of three years of experience with medical office or front office responsibilities
2. Experience with medical office information systems, electronic billing, and other automated functions
3. Knowledge of medical terminology, ICD-9/CPT coding, Medicare/Medicaid guidelines, and worker's compensation
4. Knowledgeable about participating insurance plans and HMO/PPO
5. One year of medical records experience preferred

C. Licensure/Certification
1. Current accreditation or certification by AHIMA, ART or CCS or steady progress toward certification