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Coder I (Claims/Edits)

Location: 12901 McGregor Blvd, Fort Myers, FL
Category: Coder
Type: Full Time
Schedule: Days

Description:

Job Summary

Summary:

  Abstracts data from medical records into Epic and 3M 360 to provide a detailed case summary of medical, demographic, and statistical information. Identifies and codes diagnoses and procedures for medical records according to ICD-10-CM and CPT-4 guidelines, including department modifications. Identifies primary diagnosis and procedure as well as pertinent secondary diagnoses and procedures. Follows procedures mandated by government and other payers for completion of coded data including APC assignments and HCC codes.


Professional Fee: Work front-end claim/charge reviews.  Working multi-specialty charts and charges (Inpatient and Outpatient) review errors, and work with Customer Service Representatives.  Claim edits and Clearinghouse edits for valid coding and documentation.  

Job Requirements

Responsibilities:

Educational Requirements

Degree/Diploma ObtainedProgram of StudyRequired/
Preferred
and/or
High School Diploma or EquivalentRequired

Experience Requirements

Minimum Years RequiredArea of ExperienceRequired/
Preferred
and/or
1 YearOutpatient CodingPreferred

Additional Requirements

1 Year of Outpatient (Acute Care Hospital or Physician) Coding or completion of coding course


State of Florida Licensure Requirements

LicensesRequired/
Preferred
and/or
Not Required

Certifications/Registration Requirements

Certificates/RegistrationsRequired/
Preferred
and/or
CPC (Certified Professional Coder)Requiredor
COC (Certified Outpatient Coding)Requiredor
CPC-P (Certified Professional Coder-Payer)Requiredor
CCS (Certified Coding Specialist)Requiredor

Additional Requirements

CRC (Certified Risk Adjustment Coder) required -or- CIC (Certified Inpatient Coder) required -or- RHIT (Registered Health Information Technician) required -or- RHIA (Registered Health Information Administrator) required. Minimum of one coding certification (listed above). Other specialty certifications from AAPC or AHIMA will be considered.

Work Type:

Full Time

Primary Shift:

Shift: Shift 1

Location:

Bridge Plaza

US:FL:Fort Myers