Under the supervision of the Manager of the Professional Fee Coding Services, the coder is responsible for the coding and abstracting of medical records diagnosis and procedures working from the appropriate charge ticket and/or electronic medical record.Classification systems used include ICD-9-CM, ICD-10-CM, CPT, and HCPCS. All work carried out in accordance with the rules, regulations and coding conventions of the American Hospital Association (Coding Clinic), Centers for Medicare and Medicaid Services (CMS), and NorthBay Healthcare coding guidelines. Abstracts assigned codes into the electronic medical record billing system in the correct position.
Ability to understand the clinical content of the health record and utilize an electronic health record system to perform job duty.
Communicates coding concerns and issues to the manager, physicians and/or their staff. Audit charts for physician education and correct coding. Processes charges to a third party company in a timely manner to ensure accurate physician production.
*Applicant must pass Coder II coding assessment.
Certification: CPC, CCS-P, or RHIT certification in good standing
Education: High School Graduate; coding certification required.
Experience: 1-3 years of experience in professional fee coding required. Medical billing, registration and/or medical records experience is desired.
Skills: Working knowledge of billing regulations and guidelines, medical terminology, anatomy, disease processes, CPT-4 and ICD-9-CM, ICD-10-CM and HCPCS. Knowledge of and experience with PC’s and/or computer systems.
Interpersonal Skills: The NorthBay Way is a set of value-based behaviors that are to be consistently demonstrated and role modeled by all employees that work at NorthBay Healthcare. The NorthBay Way principles consist of Caring, Communication, Collaboration, and Competence. Able to communicate effectively with physicians and co-workers. Excellent communication and customer service skills. The ability to work independently as well as in a team environment. Ability to withstand the pressure of continual deadlines and receipt of work with variable requirements.
Physical Effort: Ability to sit for long periods of time at a computer terminal. Ability to concentrate and maintain accuracy in spite of frequent interruptions. Occasional reaching, stooping, crouching and bending.