Certified Medical Coder IV - Valleywise Health System

Under the direction of the Coding Supervisor, this position will be able to code all types of cases, for example, Inpatient, Burn, Behavioral Health, Observation, ED, Trauma, Surgical, and Infusion and Injections, using ICD-10-CM, PCS, CPT, and HCPCS guidelines. This position will also be proficient or gain proficiency in using the SMART and 3M Reporting tools, as well as Coordinate the review of the STATE report. Assists with coordinating the coding meetings with the Clinical Documentation Improvement (CDI) team and monitors and assigns the ongoing review of identified patient records for coding review. Assists with the daily operation of the HIM Coding area; and ensures that all codes assigned comply with the current coding guidelines, federal and state regulations, and facility requirements. This position will assist with training and mentoring new coding staff, reviewing and auditing all types of coding, and testing and implementing new software.

Hourly Pay Range: $24.00 - $35.40

Qualifications
Education:

• Requires an associate degree in Health Information Technology or a related field or an equivalent combination of training and progressively responsible experience that results in the required specialized knowledge and ability to perform the assigned work in place of a degree.
• A Bachelor’s degree is preferred.

Experience:

• Requires five (5) years of progressively responsible acute care inpatient and/or outpatient hospital coding experience demonstrating a solid understanding of the required knowledge, skills, and abilities.

Specialized Training:

• Requires the ability to pass a coding exam before hiring.

Certification/Licensure:

• Must have certification as either RHIA, RHIT, CCS, or CPC
• Dual credentials are preferred.

Knowledge, Skills, and Abilities:

• Must know of and be able to code all types of patient medical records, including Inpatient, Burn, Behavioral Health, Outpatient, Emergency Medicine, Trauma, Observation, Same Day Surgery, Surgery, and Infusions and Injections.
• Must possess a clear understanding of APC, APR DRG, MS DRG’s, MCC, and CC information and be able to create and analyze coding reports.
• Must thoroughly know medical terminology, anatomy, physiology, and disease process.
• Must be able to read and interpret many entries to identify diagnoses and procedures accurately.
• Must have a high understanding of computer applications and automated encoder systems.
• Must know anatomy and physiology, medical terminology, surgical terminology, pharmacological terminology, patient care documentation, ICD-10CM & PCS, HCPCS, and CPT codes.
• Must have the analytical ability necessary to interpret data contained in records and to assign appropriate codes.
• Must be able to communicate effectively and have excellent customer service skills.
• Requires the ability to read, write, and speak effectively in English.

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