Certified Medical Coder - Hospital

OrthoNebraska creates the inspired healthcare experience all people deserve by giving people a direct path to personalized care and life-enhancing outcomes. With a focus on safety and people, we set the bar high in providing high-quality care with an unmatched experience. Our team members are critical to our success and growth and are rewarded for their dedication and hard work. IF this sounds like the type of team and environment you want to be a part of apply today!

Position Summary: The Hospital Medical Coder, meticulously analyses patient chart documentation and translates the extracted information into standardized medical codes for the facility component. This role needs to be detailed oriented and knowledgeable of coding guidelines.

Position details

Position Requirements

Education: High School Diploma or GED required.

Licensure: N/A

Certification: Current/active Coding certification through AHIMA or AAPC required.

Experience: 2+ years' experience actively coding preferred. Experience in an Orthopedic environment preferred.

Required Knowledge/Skills/Abilities

• Proficiency in facility, ICD 10 PCS and Surgery required.
• Knowledge in working with Cerner is preferred.
• Effective verbal and written communication skills for interacting with healthcare professionals and team members.
• Efficiently manage workload to meet coding deadlines and organizational productivity standards.
• Maintain strict confidentiality of patient information in compliance with legal and ethical standards.

Essential Job Functions

• Analyze medical record documentation and accurately code and sequence diagnoses and procedures.
• Communicate with physicians when additional documentation is required in order to accurately assign diagnosis or procedure codes. e.g. insufficient, and/or conflicting documentation.
• Input codes and required medical record data items.
• Collaborate with peers and supervisors to develop and implement policies and action plans for improving coding and documentation compliance.
• Maintain high level of customer service with all internal and external contacts.
• Participates in routine coder staff meetings to share information, discuss coding practices, guidelines and policies.
• Complete coding and health information management compliance audits and other projects as assigned by the Coding and Compliance Coordinator/Health Information Manager
• Customer service and public relations.
• Is expected to comply with safety policies and procedures, regulatory requirements such as OSHA and JCAHO and to participate in corporate-wide and department safety activities
• Employee is responsible for all other duties as assigned for which competency has been demonstrated

Physical requirements: This position is classified as Sedentary Work in the Dictionary of Occupational Titles, requiring the exertion of up to 10 pounds of force occasionally) up to (33% of the time) and/or a negligible amount of force frequently (33%-66% of the time) to lift, carry, push, pull or otherwise move objects, including the human body. Sedentary work involves sitting most of the time but may involve walking or standing for brief periods of time.

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