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Licensure or other certifications: Certified Coding Specialist (CCS) or Certified Professional Coder (CPC) or Certified Inpatient Coder (CIC) or Certified Outpatient Coder (COC) or Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA.
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Short Description Coder III demonstrates proficiency in coding high acuity inpatient accounts and/or coding of technical outpatient accounts including, but not limited to Observation, Radiation Oncology, Chemotherapy Infusion, Cardiac Cath/Electrophysiology or Interventional Radiology and Surgery to support Revenue Cycle goals for timely billing.
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Coder III demonstrates proficiency in coding high acuity inpatient accounts and/or coding of technical outpatient accounts including, but not limited to Observation, Radiation Oncology, Chemotherapy Infusion, Cardiac Cath/Electrophysiology or Interventional Radiology and Surgery to support Revenue Cycle goals for timely billing.
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Proficiently navigates the patient health record and other computer systems/sources to accurately determine diagnosis and procedures codes, MS-DRGs and APCs. Codes Complex Outpatient or Inpatient utilizing encoder software and online tools and references, in the assignment of ICD, CPT, HCPCS codes, MS-DRG, POA, SOI & ROM assignments, APC assignment and all required modifiers.
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2 years experience as an outpatient and inpatient hospital or clinic coder is required. Comprehensive working knowledge of medical terminology, anatomy and physiology, diagnostic and procedural coding and MS-DRG or APC grouping and components of charge description master for charging functions.
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Certified Coding Specialist (CCS) Certified Outpatient Coder (COC) credential required. Certified Coding Specialist (CCS) or Certified Outpatient Coder (COC) credential required.
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Experience : None. Certifications: CCA (Certified Coding Associate) CCS (Certified Coding Specialist) RHIT (Registered Health Information Technologist) CPC (Certified Professional Coder) COC (Certified Outpatient Coder) or RHIA (Registered Health Information Administrator) is required.
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Cert Interv Rad CV Coder (CIRCC) - Cert Outpatient Coder (COC) Certified Outpatient Coder (COC) The Coder 2 is proficient in three or more types of outpatient, Profee, or low acuity inpatient coding.
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Actively seek to obtain certification with American Health Information Management Association (AHIMA) as a Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), or Certified Coding Specialist (CCS) and/or Registration with American Association of Professional Coders (AAPC) as a Certified Professional Coder (CPC), Certified Outpatient Coder (COC), Certified Inpatient Coder (CIC) or other equivalent coding certification.
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Other: Significantly advanced working knowledge and a high level of experience with the ICD-10 CM/PCS and/or CPT/HCPCS coding classification systems, facility department charging, MSDRG's, APC's, MPFS/RVUs, POA's, HACs; dependent upon whether an Inpatient, Outpatient, or Professional Services coder.
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Licensure/Certification Actively seek to obtain certification with American Health Information Management Association (AHIMA) as a Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), or Certified Coding Specialist (CCS) and/or Registration with American Association of Professional Coders (AAPC) as a Certified Professional Coder (CPC), Certified Outpatient Coder (COC), Certified Inpatient Coder (CIC) or other equivalent coding certification.
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Certification from AAPC or AHIMA as a Certified Professional Coder (CPC) and Certified Professional Medical Record Auditor (CMPA), Certified Coding Specialist (CCS), Registered Health Information Administrator (RHIA), or a Registered Health Information Technician (RHIT) is required.
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Job Qualifications: QUALIFICATIONS: Certified Coder: A. Education: High School diploma or equivalent B. Experience: Outpatient and ED Coders - 1 year previous coding experience in a healthcare setting Inpatient Coders - 2 years previous coding experience in a healthcare setting C. Other Skills: Knowledge of anatomy, physiology, and medical terminology.
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Job SummaryThe Medical Coder is responsible for ICD-10 coding of diagnoses and procedures of inpatient/outpatient Emergency Room discharged patient records. Maintain knowledge of current laws and regulations related to insurance, Medicare, Medicaid, and DRG coding, sequencing, and CPT coding.
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DUTIES & RESPONSIBILITIES: · Reviews medical records and assign diagnostic and procedure codes for inpatient, outpatient and discharged patient records · Retrieves clinical information for the purposes of accurate MS-DRG assignment and ensures compliance with federal regulations QUALIFICATIONS & REQUIREMENTS: · Degree in Health Information Management, previous related training and experience required · Current RHIT or RHIA registration and CCS/CPC-H is required.
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