Under minimal technical or managerial supervision, this position assigns codes to diagnoses and/or procedures using ICD10-CM and CPT-4 for observation, ambulatory surgeries, outpatient procedures, outpatient clinics and emergency room encounters. A Coder I will also research medical necessity needs if necessary and have a good working knowledge of Medicare Local Medical Review Policy (LMRPs)
Qualifications:Required Education:
High School Diploma or GED. Specific course work: Medical Terminology, Anatomy & Physiology, or other related course work
Preferred Education:
Associate's or Bachelor's Degree in Health Information Management/Medical Record Administration. Equivalent healthcare college degree may also be considered.
Necessary Skills:
1. PC knowledge
2. Good written and oral communication and customer service skills
3. Must be detail oriented, organized and flexible
4. Able to demonstrate initiative and perform minimum productivity levels
5. Must have thorough knowledge of medical terminology, anatomy, and physiology and able to accept direction with changing priorities.
Preferred Licensure/Certifications:
N/A
Required Experience:
Six (6) months of acute care hospital outpatient coding experience.
Preferred Experience:
At least one (1) year of experience coding emergency room and outpatient clinical records in a large acute care teaching facility.
Required Licensure/Certifications:
Effective September 22, 2025 one of the certifications below is required at hire/transfer:
1. RHIA/RHIT
2. CCS
3. CCA
4. CPC-H
5. CPC