Coder III

Job Summary

The Clinical Documentation Specialist is responsible for reviewing outpatient clinical documentation via Epic and 3M CAC for assignment of ICD-10-CM diagnoses and CPT-4/HCPCS procedure coding systems. Through knowledge of coding conventions and guidelines, the Specialist is able to address commonly applied modifiers for hospital outpatient accounts. The Specialist extracts pertinent information from clinical notes, operative notes, radiology reports, laboratory reports, (including Pathology), procedure records, specialty forms, etc. and determines complex code assignment pertinent to emergency visits and diagnostic workups.

Responsibilities
• Extracts pertinent information from clinical notes and other documentation
• Determines complex code assignment for emergency visits and diagnostic workups
• Applies knowledge of coding conventions and guidelines
• Addresses commonly applied modifiers for hospital outpatient accounts

Requirements
High School Diploma or GED is required. At least 2 years relevant coding and abstracting experience in an acute care hospital. Experience with Epic and 3M CAC systems preferred. Certification as a Certified Professional Coder (CPC) or Certified Outpatient Coding (COC), formerly Certified Professional Coder-Hospital (CPC-H), Certified Coding Specialist (CCS or CCS-P). Accredited Coding Certificate program (AAPC or AHIMA) required. Remote, but must live in Georgia.

Equal Opportunity Employer
Grady Health System is an Equal Opportunity Employer and welcomes applications from diverse candidates.

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