Responsible for clinical documentation improvement of medical records. Works closely with Resource Management, Health Information Management, and physicians to assure documentation accurately reflects severity of illness and risk of mortality in a format that can be interpreted by International Classification of Disease methodology. Serves as liason with medical staff concerning documentation issues. Serves as a resource for ICD9-CM and CPT issues. Responsible for physician queries and documentation education. Works to assist in providing quality healthcare and promoting health and wellness. High school diploma or GED required. Associate degree from an accredited school for the Registered Health Information Technician program preferred. Successful completion of coding certification (CCS) can be substituted. Knowledge of ICD-9-CM, CPT-4 coding guidelines. Knowledgeable of current Medicare and Medicaid rules and regulations. Experience in encoder software. Knowledge of abstracting and use of databases. Ability to interact professionally with all levels of personnel. Ability to work under pressure. Excellent customer service skill and communication skills required. Clinical knowledge preferred. Minimum of two years’ coding experience within an acute care setting.