Coder - Accredited

Job Summary

The Coder is responsible for coding diseases, procedures, and operations for professional and facility services within Altru Health System. In addition, the Coder is responsible for effective communication and partnerships with providers that includes shared feedback and on-going education regarding coding criteria and standards. The Coder monitors daily activity reports to assure all encounters are being coded and performs documentation review and audits to validate coding efforts.
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Essential Job Functions
Accesses designated resources such as coding initiatives, local medical review policies, HCPCS, Coders Desk Reference, etc. to research appropriate codes for adherence with coding guidelines.

Utilizes the electronic medical record to code diseases, procedures, and operations with the current diagnosis and procedure classifications for both professional and facility services.

Partners with providers for quality, optimum coding by engaging in on-going feedback on updated coding criteria and guidelines.

Communicates current procedure and diagnosis coding guidelines with providers. Serves as a resource regarding documentation and coding issues.

Assists Business Office staff in the resolution of coding related denials guidelines and take corrective action for claim resubmission for reimbursement.

Monitors daily activity reports to assure all encounters are being coded and submitted for billing.

Performs documentation review and audits to validate coding. Works with physicians and leaders to interpret coding data reports and trends.

Performs other duties as assigned or needed to meet the needs of the department/organization.

• Demonstrates understanding and follows infection control policies and procedures according to standard operating procedure.
• Maintains requirements for age specific competencies for the position and demonstrates the knowledge or principles of growth and developments and the skills necessary to provide patient/customer care/services.
• Demonstrates knowledge and understanding of and compliance with:
  • All pertinent safety, health and environmental policies, procedures and guidelines.
  • Working safely, without causing harm or risk to self, others or property.
  • The work environment safety procedures and prompt reporting of unsafe practices, procedures, accidents, injuries or other safety violations to the Leader.
  • The use of all safety equipment and personal protective equipment.

Driving Requirements

• Professional Drivers: Persons who drive as their main responsibility OR transport passengers or hazardous materials.
• Frequent Drivers: Persons whose main responsibility is not driving, but drive daily or almost daily.
• Occasional Drivers: Persons who drive from once per month to as frequently as once per week.
• Infrequent Drivers: Persons who are generally not expected to drive.

Driving Category

Infrequent Driver
License, Certification & Registration
Title

Credentialing Body

Timeframe When Needed

Verified By

Certified Coding Associate (CCA)

American Health Information Mgmt. (AHIMA)

Within 12 Months of Start Date

HR Primary Sources

Certified Coding Specialist (CCS)

American Health Information Mgmt. (AHIMA)

Within 12 Months of Start Date

HR Primary Sources

Certified Coding Specialist - Physician Based (CCS-P)

American Health Information Mgmt. (AHIMA)

Within 12 Months of Start Date

HR Primary Sources

Certified Professional Coder-Hospital Outpatient (CPC-H)

American Academy of Professional Coders

Within 12 Months of Start Date

HR Primary Sources

Certified Professional Coder (CPC)

American Academy of Professional Coders

Within 12 Months of Start Date

HR Primary Sources

Registered Health Information Technician (RHIT)

American Health Information Mgmt. (AHIMA)

Within 12 Months of Start Date

HR Primary Sources

Notes: Must have an Associates degree in Coding/Health Information to obtain Coding certificate (RHIT/CPC)

May be certified in one of the above.
Education & Experience
Degree/Diploma

Program of Study

Required/Preferred

Experience

Required/Preferred
Knowledge & Skills
Title

Required/Preferred

Demonstrates knowledge of CPT, ICD-10, HCPCS, and revenue codes.

Required

Physical Demands
Frequency 8 Hour Shift 10 Hour Shift 12 Hour Shift Rarely (1-4%) 1-19 min 1-24 min 1-29 min Occasionally (5-33%) 19 min-2.6 hrs 24 min-3.3 hrs 29 min-3.9 hrs Frequently (34-66%) 2.6-5.3 hrs 3.3-6.6 hrs 3.9-7.9 hrs Continuously (67-100%) 5.3-8 hrs 6.6-10 hrs 7.9-12 hrs
Activity

Frequency

Sit

Frequently (34-66%)

Stand

Occasionally (5-33%)

Walk

Occasionally (5-33%)

Stoop/Bend

Occasionally (5-33%)

Reach

Frequently (34-66%)

Climb

Not Applicable

Crawl

Not Applicable

Squat/Crouch/Kneel

Rarely (
Twist

Occasionally (5-33%)

Handle/Finger/Feel

Continuously (>67%)

See

Continuously (>67%)

Hear

Continuously (>67%)
Weight Demands
Activity

Amount

Lift - Floor to Waist Level

Sedentary (
Carry

Sedentary (
Push/Pull

Sedentary (
Slide/Transfer

Not Applicable
Working Conditions
Condition

Frequency

Indoor

Continuously (>67%)

Outdoor

Not Applicable

Extreme Temperature

Not Applicable
Employee Health
Functional Assessment

Hazardous Drug Exposure

Fit Testing Required

Not Applicable

No

No