Clinical Coder-Coding

The Clinical Coder reviews, analyzes, and codes documentation for hospital medical records to select and sequence the appropriate ICD-10-CM diagnosis, CPT procedure codes as applicable. This position is responsible for the accurate assignment; abstracting to determine accuracy and completeness of the record, utilizing the 3M Coding Reimbursement to compile data and related work assigned. Coding staff in this position are able to code encounters of multiple specialties, as well as mentor and train other coding levels. This position (utilizing encoder software and online tools and references in the assignment of codes). Consults reference materials to facilitate code assignment. Validates charges by comparing charges with health record documentation as necessary. Understands appropriate link of diagnosis to procedure when applicable. Utilizes retrospective edit tool to address possible coding and/or documentation issues related to submitted diagnosis and procedure information obtained from the health record. Consults with CDI, physicians, or other healthcare providers when additional information is needed for coding and/or to clarify conflicting or ambiguous information. Collaborates with Revenue Cycle Management teams in resolving billing and utilization issues affecting reimbursement.