Analyzes and translates medical and clinical diagnoses, procedures, injuries, or illnesses into designated numerical codes. Codes records for use and planning for physician offices. Performs chart auditing. Serves as lead to Coders by mentoring, training, and resolving problems. Models appropriate behavior as exemplified in MLH Mission, Vision and Values.
- Expert level knowledge of medical and clinical terminology, disease processes, and pharmacology.
- Skilled in auditing charts.
- Proficient skills in computer programs.
- Strong attention to detail.
- Understands and interprets policies, procedures and medical charts.
- Ability to examine documents for accuracy and completeness.
- Ability to conduct complex work and contribute to measurable team and/or organizational objectives.
Key Job Responsibilities
- Serves as lead to other Coders.
- Reviews patient information, assigns codes, and sequences codes for billing, insurance, and reporting purposes. Codes more complex procedures such as Surgery and Interventional Radiology. Codes Evaluation and Management Services (E/M).
- Discusses documentation inconsistencies with clinicians.
- May assist with patient accounts.
- Provides education to physicians and staff in requirements of documentation for proper reimbursement.
- Performs chart auditing.
- The physical activities of this position may include climbing, pushing, standing, hearing, walking, reaching, grasping, kneeling, stooping, and repetitive motion.
- Must have good balance and coordination.
- The physical requirements of this position are: light work - exerting up to 25 lbs. of force occasionally and/or up to 10 lbs. of force frequently.
- The Associate is required to have close visual acuity to perform an activity, such as preparing and analyzing data and figures; transcribing; viewing a computer terminal; or extensive reading.
- The conditions to which the Associate will be subject in this position: The Associate is not substantially exposed to adverse environmental conditions; job functions are typically performed under conditions such as those found in general office or administrative work.