Medical Records Coder - Certified - Onsite Position

Nemaha Valley Community Hosp; Seneca (SC); On-site; USD 30,000 - 47,000; Full time

Job summary

Nemaha Valley Community Hosp is seeking an HIM IP and/or OP coder in Seneca, SC. The role involves assigning diagnostic and procedure codes for discharged patients and forwarding reports as required, with duties directed by the HIM director.

The position requires prior coding training and experience; RHIT is preferred but not required, and coding certification is required. It is an on-site, hourly paid role with collaboration across hospital departments.

Qualifications

• Experience: Previous directly related training and experience preferred.
• Education: High School or equivalent
• RHIT certification preferred but not required (must be attending classes to obtain in future).
• Coding Certification required.

Responsibilities

• Reviews charts and assigns ICD-10-CM, ICD-10-PCS and CPT codes for OP charts.
• Determines the sequence of diagnoses according to discharge data; uses LCDs/NCDs for medically necessary services; applies NCCI edits and MUEs.
• Inputs abstract data and codes into computer.
• Assists in maintaining electronic health records.
• Communicates with other departments on reports/charges needed for an encounter.
• Verifies scanned image quality for coding charts on FIN and related records.
• Completes release of information requests as necessary.
• Participates in educational programs and in-service meetings.
• Back-up for birth certificate completion.
• Attends meetings and training as required.
• Executes any other duties as requested by Department Director

Education

High School Diploma or Equivalent

Job description

JOB TITLE: HIM IP and/or OP

DEPARTMENT: HIM

FLSA: Hourly

JOB RELATIONSHIPS

Responsible to: Health Information ManagerResponsible for: Does not supervise other employees Interrelationships: Works cooperatively with all hospital Departments and the Medical Staff

JOB SUMMARY

Assigns diagnostic and procedure codes to records of discharged patients andforwards reports as required. Also, performs other duties as directed by the HIMdirector.

JOB QUALIFICATIONS

Experience: Previous directly related training and experience preferredEducation: High School or equivalentReq. Cert./ Certification as RHIT preferred but not required (must be attending classes to obtain in future though). Coding Certification required.Registration:

JOB DUTIES

• Reviews patient’s charts and assigns appropriate ICD-10-CM, ICD-10-PCS and CPT codes for OP charts.
• 2. Determines the sequence of diagnoses according to uniform hospital discharge data. Incorporate use of LCDs and NCDs for medically necessary services. Able to use NCCI edits and MUEs for correct coding.
• 3.Inputs abstract data and codes into computer.
• 4. Assists in maintaining electronic health record.
• 5.Good communication skills with fellow departments on reports/charges needed on an encounter.
• 6.Verify scanned image quality as coding charts for accuracy on appropriate FIN, etc.
• 7 .Completes release of information requests as necessary.
• 8. Participates in educational programs and in-service meetings.
• 9. Back-up for birth certificate completion.
• 10. Attends meetings and training as required
• 11. Any other duties as requested by Department Director