Medical Coder

Job Overview

Requirements

• Credentialed as RHIA (Registered Health Information Administrator), RHIT (Registered Health Information Technician), CCA (Certified Coding Associate), CCS (Certified Coding Specialist) or CPC (Certified Professional Coder) preferred or be enrolled and working toward one of the above referenced certifications
• If working toward a certification, must receive certification within six months of completion of courses
• Minimum 6 months’ experience required as a coder or health information analyst in a hospital or clinic setting
• Comprehensive knowledge of medical terminology, anatomy, physiology, clinical medicine, ICD-10-CM and CPT-4 coding systems required
• Proficient with basic computer skills in a Windows environment, basic Excel and Word usage

Work Hours

We are seeking a full-time (40 hr/ week) Medical Coder to work Monday- Friday, 8:00 AM- 4:30 PM, in our HIM department.

Job Summary

The Medical Coder reviews medical documentation and supporting information for the assignment of ICD-10-CM and CPT-4 codes via computerized coding system in accordance with coding guidelines. They also communicate with a variety of clinical disciplines and physicians to clarify documentation requirements.

Essential Job Functions and Responsibilities

This list of duties and responsibilities is not all inclusive and may be expanded to include other duties and responsibilities as management may deem necessary from time to time.

1. Assigns appropriate medical codes based on review of medical documentation and supporting information.
2. Enters coding information via computerized coding system in accordance with coding guidelines.
3. Clarifies documentation requirements with clinicians and physicians.
4. Responsible for clearing system and regulator edits for medical necessity and other coding guidelines.
5. Assigns and validates charges on accounts.
6. Works closely with revenue cycle staff to ensure accurate and timely completion of accounts for billing purposes.
7. Works closely with clinical departments to ensure appropriate documentation is completed in the medical record for coding and billing purposes.
8. Abstracts quality and registry data to external reporting agencies as required by regulation.
9. Attends all mandatory meetings and in-services.
10. Adheres to Southwest Health’s value-based behavior standards.
11. Understands and adheres to Southwest Health compliance and HIPAA standards as they appear in the Corporate Compliance Policy, Code of Conduct and Conflict of Interest Policy.

Contact Information

Southwest Health
Attn: Human Resources
1400 Eastside Rd
Platteville, WI 53818
Phone: (608) 342-0998
Email: hr@southwesthealth.org
Fax: (608) 342-5015

Benefits

Southwest Health is truly an outstanding place to work. A full benefit package is available for employees working 20 hours/week or greater which includes: Health, Dental, Vision and Life insurance. Also available are long and short term disability, cell phone discount, flexible spending plan, paid time off, retirement plan with an employer contribution, fitness membership discount as well as use of exercise equipment at the facility.