Coder - Full Time - Days

Job Description

Interprets clinical documentation/records of basic outpatient cases to ensure all diagnoses and procedures are documented and coded.

Responsibilities

A. Interprets clinical documentation/records to ensure all diagnosis and procedure documentation is coded.

B. Applies regulatory and facility guidelines while coding.

C. Code clinical documentation with an accuracy rate consistent with the hospital quality program.

Abstract clinical information from the medical record into the clinical information system with an accuracy rate consistent with the hospital abstracting quality program. The inpatient and outpatient abstracting policy should be referenced for specific on TCH abstracting practices.

Documentation

A. Interprets health record content to ensure that all diagnoses and procedures assigned are supported by physician documentation.

Productivity

A. Coder will code and abstract medical records at a productivity rate that is consistent with the hospital productivity program.

Participates in continued quality improvement opportunitie

Other duties as assigned

Qualifications

KNOWLEDGE AND SKILLS:

EDUCATION: RHIA, RHIT, CCS, CPC-H, or CCA with 2 yrs. Hospital coding experience strongly preferred. Skills assessment required determining competency level of coding skills and outcome determines placement in intermediate to advance level.

YEARS OF EXPERIENCE: 2 yrs. preferred.

REQUIRED SKILLS AND KNOWLEDGE:

Criteria:

Skills*:

Coder Associate:

Basic outpatient cases with simple diagnoses and procedures.

  • Outpatient diagnostic testing.


Coder Senior:

Interprets clinical documentation/records of complex outpatient and/or basic inpatient cases to ensure all diagnoses and procedures are documented and coded.

Same Day Surgery



Endoscopy



Cardiac Cath



Interventional Radiology



Inpatient

Coder Lead:

Interprets clinical documentation/records of complex outpatient and/or complex inpatient cases to ensure all diagnoses and procedures are documented and coded.



Same Day Surgery



Endoscopy



Cardiac Cath



Interventional Radiology



Complex Inpatient Procedure

Education:

Coder Associate:

Successful completion of some coursework or formal education in:



ICD-10-CM, disease process and medical terminology.



Coder Senior:

Successful completion of coursework or formal education in:



ICD-10-CM, ICD-10-PCS, CPT, disease process and medical terminology



Coder Lead:

Successful completion of advanced coursework or formal education in:

ICD-10-CM, ICD-10-PCS, CPT, disease process and medical terminology

*Each increase in levels assumes the ability to code at the previous skill level.

CERTIFICATIONS & CREDENTIALS:

The following certifications are preferred:

• Registered Health Information Administrator (RHIA)

• Registered Health Information Technician (RHIT)

• Certified Coding Specialist (CCS)

• Certified Coding Associate (CCA)

• Certified Professional Coder - Hospital (CPCH)

• Applicable associate or bachelor's degree

About Us

For more than 130 years, The Christ Hospital been the beacon for exceptional healthcare in the Greater Cincinnati community. We're industry pioneers, always pushing the boundaries and reimagining the future of healthcare.



Our culture promotes collaboration, diversity and innovation. Together, as a team, we work tirelessly to enhance healthcare quality, accessibility and safety.