Coder III

*Summary*

Under minimal technical or managerial supervision, a Coder III has main responsibility of assigning codes to diagnosis and procedures using ICD-10-CM and ICD-10 PCS for inpatient discharges for the purpose of reimbursement, research and in compliance with federal and hospital regulations. In addition, a Coder III may be assigned to code any record at any time with ICD-10-CM and CPT-4 for observation, ambulatory surgery encounters, outpatient clinics, emergency room encounters, and interventional cardiology and radiology.

*Responsibilities*

Reads medical records and extrapolates pertinent, clinical information to assign accurate ICD-10-CM and ICD-10 PCS codes to diagnoses and procedures primarily for inpatient records, and can appropriately apply ICD-10-CM, and CPT-4 codes for observation and ambulatory surgery encounters, emergency room records and outpatient clinics and enter the codes and designated data elements into the Computer Assisted Coding system, 3M Encoder and the Epic electronic medical record. Maintains coding quality standards of 95%.

Coder III will perform at an acceptable productivity level as indicated below:

Inpatient-2 records/hour

Interventional Radiology and Cardiology-5 records/hour

Ambulatory Surgery-7 records/hour

Observation-7 records/hour

GI Lab-7 records/hour

Emergency Department-14 records/hour

Infusion-14 records/hour

Outpatient Clinic-15 records/hour

Radiology-18 records/hour

Maintain an updated, working knowledge of the coding classification systemsICD-10-CM, ICD-10 PCS,CPT-4, HCPCS) and reimbursement systems (i.e. MSDRG, APC, APR-DRG.)

Code medical records as completely as possible using the Computer Assisted Coding system as required and determines when a record cannot be coded by moving it to the appropriate work queue in EPIC.

Reviews records for severity of illness (SOI), risk of mortality (ROM), hospital acquired conditions (HAC) and patient safety initiatives (PSI) as they relate to coding.

Comply with hospital and departmental policies and procedures as related to billing and coding.

On an annual basis, read and sign the Coding Compliance document.

Performs interim coding of records.

May assist in training peers and performing audits.

Perform other duties as assigned by the supervisor within job specifications.

*Required Education:* High School Diploma or GED

*Preferred Education:* Associate's or Bachelor's Degree in Health Information Management or equivalent health care related college degree such as nursing.

*Necessary Skills*

1. PC knowledge

2. Excellent communication and customer service skills

3. Must be detail oriented, organized and flexible

4. Able to demonstrate initiative and perform minimum productivity levels

5. Must have thorough knowledge of medical terminology, anatomy, physiology and

pathophysiology and able to accept direction with changing priorities.

*Required Licensure/Certifications: *Effective September 1, 2016, all employees hired or transferred into the position are required to have Certified Coding Specialist (CCS) through the American Health Information Management Association.

*Required Experience:* 3-5 years acute care coding experience.

*Preferred Experience:* Five (5) years inpatient coding experience in a large acute care teaching facility.

Job Type: Full-time

Benefits:
* 401(k)
* 401(k) matching
* Dental insurance
* Employee assistance program
* Employee discount
* Health insurance
* Life insurance
* Paid time off
* Tuition reimbursement
* Vision insurance
Schedule:
* 8 hour shift
* Monday to Friday

Work Location: Hybrid remote in Jacksonville, FL 32209

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