Coder III (Medical Coding)

Job Summary

Job Duties

• Reviews the content of the medical records from multiple EHR's and on-site for both hospital and professional inpatient or outpatient records to identify principal diagnosis, secondary diagnoses and procedures performed.
• Carefully reviews details of documents such as laboratory findings, radiology reports, various scan reports, discharge summary, history and physical, consultations, orders, progress notes and other ancillary services treatment records needed to ensure all pertinent diagnoses and procedures are recorded.
• Failure to properly identify diagnoses and procedures may have a dramatic negative impact upon payment received by The Health Plan.
• Assigns codes based on hospital and professional coding guidelines, Coding Clinic directives, federal regulations, CCI coding initiatives, CPT Assistant or other standard coding guidelines.
• Provides material to the RACE team to educate physicians as needed to clarify documentation within the patient's record to facilitate complete and accurate coding.
• Assists in decision making relevant to physician coding education and HCC targeting purposes.
• Provides encoder software and EMR (EPIC) expertise and uses these tools along with their knowledge in the anatomy and physiology of the human body and disease processes in order to understand the etiology, pathology, symptoms, signs, diagnostic studies, treatment modalities, and prognosis of diseases and procedures to be coded.
• Ensures strict confidentiality of financial and medical records.
• Develops and maintains expertise in non-EPIC EMR systems as deemed appropriate by the Chart Retrieval team.
• Updates and corrects historical file data by submitting delete files and notifying the RACE team.

Work is typically performed in an office environment. Accountable for satisfying all job specific obligations and complying with all organization policies and procedures. The specific statements in this profile are not intended to be all-inclusive. They represent typical elements considered necessary to successfully perform the job.

*Relevant experience may be a combination of related work experience and/or completed specialty training program (1 year of specialty training = 1 year relevant experience).

This posting reflects an opening for Coder III and we are seeking candidates for that position. Geisinger reserves the right to consider applicants for higher levels of this role to include Coder IV and Coder Senior based on their skills, qualifications, and experience. We encourage all qualified individuals to apply.

Position Details

Minimum one of these coding certifications is required:
CPC - Certified Professional Coder

CRC - Certified Risk Adjustment Coder

RHIT - Registered Health Information Technician

Education

Experience

Certification(s) and License(s)