Coder - Certified (Inpatient)

Western Missouri Medical Center; Warrensburg (MO); On-site; USD 55,000 - 70,000; Full time

Job summary

Western Missouri Medical Center in Warrensburg, MO is seeking a Certified Coder to translate diagnoses and treatment procedures into ICD-10, CPT and HCPCS codes for reimbursement across office and hospital encounters, ensuring accuracy and compliance.

The role includes coding patient encounters, abstracting data, auditing documentation, mentoring staff, maintaining confidentiality, and staying current with coding guidelines and credentialing requirements.

Qualifications

• High school diploma or equivalent.
• AHIMA or AAPC credentials.
• Experience as a certified coder required.
• Knowledge of medical terminology and anatomy/physiology.
• Professionalism, confidentiality, and organization.

Responsibilities

• Code patient encounters accurately for reimbursement.
• Abstract diagnostic and procedural data.
• Audit documentation for accuracy and compliance.
• Mentor and support coding staff.
• Protect patient privacy and confidentiality.
• Stay current with coding guidelines and credentialing.

Skills

Medical terminology

Anatomy/physiology

Attention to detail

Confidentiality

Organization

Professionalism

Education

High school diploma or equivalent

AHIMA or AAPC credentials

Job description

Purpose Statement The Certified Coder will play a key role in converting diagnoses and treatment procedures into ICD-10, CPT and HCPCS codes. The Coder will review and accurately code office and hospital procedures for reimbursement.

Job Type Full-time

Description The Certified Coder will be responsible for coding patient encounters, abstracting diagnostic and procedural information, and ensuring accurate reimbursement based on clinical documentation.

Essential Functions

• Accounts for coding and abstracting of patient encounters, including diagnostic and procedural information, significant reportable elements, and complications.
• Researches and analyzes data needs for reimbursement.
• Analyzes medical records and identifies documentation deficiencies.
• Serves as resource and subject matter expert to other coding staff.
• Reviews and verifies documentation supports diagnoses, procedures, and treatment results.
• Identifies diagnostic and procedural information.
• Audits clinical documentation and coded data to validate documentation supports services rendered for reimbursement and reporting purposes.
• Assigns codes for reimbursements, research and compliance with regulatory requirements utilizing guidelines.
• Follows coding conventions and serves as coding consultant to care providers.
• Identifies discrepancies, potential quality of care, and billing issues.
• Researches, analyzes, recommends, and facilitates plans of action to correct discrepancies and prevent future coding errors.
• Identifies reportable elements, complications, and other procedures.
• Assists lead or supervisor in orienting, training, and mentoring staff.
• Maintains and respects patient and employee privacy and confidentiality.
• Maintains coding credentials and education to keep current on guidelines and changes.
• Maintains regular and predictable attendance.
• Supports the Medical Center’s Mission/Vision/Philosophy positively.
• Handles special projects as requested.

Requirements

• High school diploma or equivalent.
• AHIMA or AAPC maintained credentials.
• Experience as a certified coder is required.
• Knowledge of medical terminology and anatomy/physiology.
• Professionalism, confidentiality, and organization.
• Detail-oriented and able to self-regulate varied tasks.
• Must be self-motivated and able to work within the established policies, procedures and practices prescribed by the hospital/clinic.

Physical/Mental Requirements

• Must be able to sit and stand, intermittent 8 to 10 hours a day.
• Must be able to use standard office equipment, including the telephone and computer keyboard.
• Continuously works under pressure of near 100% accuracy while meeting inflexible deadlines.
• Continuously utilizes manual/bi-manual dexterity, near vision, speech, and hearing.
• Frequently stands, walks, sits and utilizes eye/hand coordination and color definition.
• Occasionally reaches above shoulder, regularly required to lift and/or carry up to 40 lbs.
• Occasionally walks on uneven surfaces.