Coder I Certified, Marshall Professional Center, Full-time, Days

Huntsville Hospital; Albertville (AL); On-site; USD 42,000 - 56,000; Full time

Job summary

Huntsville Hospital seeks a Coder 1 to apply coding policies and review diagnostic information for accurate APC assignment and reimbursement. The role includes abstracting clinical data into the health information system and making medical necessity determinations for Medicare/Medicaid outpatient testing using the provided software.

The position reports to the Coding Supervisor and Director of Health Information Management, and emphasizes adherence to coding standards and timely processing of

Qualifications

• High school diploma or equivalent required.
• 1-2 years of experience in a health care setting preferred.
• Certification: RHIA, RHIT, CCS or CPC-H preferred; must be obtained within one year of employment.

Responsibilities

• Evaluate diagnostic information to determine accurate APC assignment for reimbursement of services.
• Verify and abstract clinical information into the health database.
• Make medical necessity determinations for Medicare and Medicaid outpatient testing using the appropriate software.

Skills

Medical coding

APC assignment

Record review

Education

High school diploma or equivalent

1-2 years healthcare setting experience

Tools

Health information system

Job description

Overview

A coder 1 is responsible for utilizing coding policies and procedures in evaluating the diagnostic information within the medical record for determination of accurate APC assignment for reimbursement of services rendered and for verifying/abstracting clinical information into the organization's health database. A coder also makes medical necessity determinations for Medicare and Medicaid out-patient testing utilizing the appropriate software.

A coder 1 functions under the direct authority and supervision of the Coding Supervisor and Director of Health Information Management.

Some of the many skills performed

Coding of diagnoses for ancillary outpatient services, i.e. Laboratory, Diagnostic Imaging, PFT, etc

Qualifications

EDUCATION:

• High school graduate or equivalent
• 1 - 2 years of experience in a health care setting

LICENSURE/CERTIFICATION:

• RHIA, RHIT, CCS or CPC-H certification preferred
• Certification must be obtained within one (1) year of employment