Reference Title
HR Use Only:
Hospital: Florida Hospital Non-Exempt
Facility: CC Florida Hospital Weston
Department: Medical Records
Job Code: 000884
Pay Grade: 14
Schedule: Full Time
Shift: Day/Evening
Hours: 8 A.M.-5:00PM
Job Details: – 2 years experience required

GENERAL SUMMARY

Participates daily, in coding and abstracting activities. Identifies, reviews, interprets, abstracts and codes clinical information from Inpatient records with some back up in area of outpatient surgeries and observation records for the purpose of research, reimbursement and compliance with federal regulations and other agencies utilizing established coding principles and protocols. A Coder 3 must meet productivity and quality standards and must meet coding/abstracting goals to expedite the billing process, as well as, expedite the retrieval for physician access and ongoing patient care.

MINIMUM QUALIFICATIONS:

A. Education, Knowledge, Skills and Abilities

Graduation from accredited Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA) program or Certified Coding Specialist (CCS) certified or two years of college education in science related field including anatomy/physiology, basic disease process, medical terminology. Requires strong verbal skills in interpersonal situations.

B. Required Length and Type of Experience

Minimum of 2 or more years experience in the application of ICD-9-CM and CPT-4 coding, recording of and interpreting clinical data from medical records of inpatients in acute care facility. After selection and placement into this position, at least 3 months of on-the-job training with attendance at comprehensive training sessions in order to code clinical data with a high degree of accuracy.

C. Required Licensure, Certification or Registry

CCS or RHIT or RHIA required.

Category: Clerical/Administrative Support