Medical Coder

• Position is for experienced Inpatient coder familiar with ICD-10-CM/PCS coding and assigning DRGs for all types of inpatient encounters.

JOB SUMMARY/PURPOSE - Applies the appropriate diagnostic and procedural codes and determines the MS-DRG assignment for inpatient records across multiple specialties (i.e. cardiology, cardiothoracic surgery, trauma, orthopedics, general medicine and surgery, pediatrics, obstetrics, newborns, etc.), or applies the appropriate diagnostic and procedure codes for ambulatory surgery records across multiple specialties (i.e. cardiology, cardiothoracic surgery, interventional radiology, trauma, orthopedics, general surgery, urology, gynecology, etc.). May be assigned any of the coding functions of an HIM Coder I or II. Assists with training HIM Coder I and II positions and assists with quality assurance through monitoring of other coders as needed.

DEPARTMENT DESCRIPTION - The Health Information Management (HIM) department manages health information systems and medical records to ensure we meet medical, legal and ethical standards. HIM staff work with Samaritan Health Services patients, staff and providers as well as numerous external entities to maintain the accuracy and completeness of the medical record; provide coded data for evaluation of services and reimbursement; and ensure authorized access to patient medical information in accordance with privacy and confidentiality requirements.

EXPERIENCE/EDUCATION/QUALIFICATIONS - High school diploma or equivalent required. - Certification status as RHIA, RHIT, CCS or CIC required. - Three (3) years recent inpatient and/or ambulatory surgery coding experience in an acute care hospital with multiple medical and surgical subspecialties required. - Experience and/or training in the following required: - Advanced medical terminology, anatomy and physiology, disease processes and pharmacology. - Computerized coding/abstracting systems and encoders. - Applicable coding rules and compliance guidelines. - Billing functions. - Components of a charge description master. - Background knowledge of health information management processes and concepts. - Electronic health record. - Training in ICD-10-CM/PCS preferred. - All candidates will be required to satisfactorily pass a coding assessment to verify minimum coding skills for this position.

KNOWLEDGE/SKILLS/ABILITIES - Knowledge of the importance of confidentiality. - Ability to organize, plan and prioritize work, as well as concentrate on a task over a period of time without being distracted. - Ability to anticipate, recognize and identify issues. - Ability to communicate information verbally and in writing so others will understand. Ability to understand information and ideas presented verbally and in writing. - Ability to work as part of a team or on your own.