ATLANTICARE

_____________________________________________ROLE  DESCRIPTION

TITLE:  Coder Inpatient Level II

 

JOB CODE: 1834

 

EXEMPT:  

NON-EXEMPT: X

 

DATE:   10/13

REVISED:

 

Minimum Qualifications:

High school diploma or equivalent required.  Minimum 3 years of acute care inpatient coding experience (recent hands on production) required. 1-2 years health care clerical experience with demonstrated knowledge of medical terminology and anatomy and physiology, as well as clinical medicine required.

 

POSITION SUMMARY

The Coder Inpatient Level II codes and abstracts the medical records of inpatients using nationally recognized guidelines. The Coder Inpatient Level II interacts with the medical staff and the care team to assure accurate and complete documentation of diagnoses and procedures and DRG assignment.

This position supports organizational goals by providing quality customer service, participating in clinical documentation improvement efforts and demonstrating a commitment to team work and cooperation.

QUALIFICATIONS

EDUCATION:  High school diploma or equivalent required.  Associate degree in HIM preferred. Bachelor’s Degree in HIM preferred. CCS preferred.

LICENSE/CERTIFICATION: Certified Coding Specialist (CCS) preferred. Associate of Science HIM preferred. Bachelors of Science HIM preferred. Successful completion of a college based coding program or college based coding certificate program preferred (AHIMA-approved preferred).

EXPERIENCE:  Minimum 3 years of inpatient acute care inpatient coding experience (recent hands on production) required.  1-2 years health care clerical experience with demonstrated knowledge of medical terminology and anatomy and physiology, as well as clinical medicine required. Proficiency in Clinical and Business Applications preferred at time of hire; incumbents within position will be trained appropriately and then skill will be required for this position within 30-60 days from date of hire.

 

PERFORMANCE EXPECTATIONS

Demonstrates the technical competencies as established on the Assessment and Evaluation Tool.

 

 

 

 

 

 

Coder Inpatient Level II

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WORK ENVIRONMENT

Potential for exposure to the hazards and risk of the hospital environment, including exposure to infectious disease, hazardous substances, and potential injury.

This active position requires the ability to work in a busy patient care area. Near visual acuity, long periods of visually examining documents and electronic files, and skilled use of multiple

 

 

 

computer applications required.   Must be able to work independently, demonstrate excellent communication skills, and manage daily work duties accurately and efficiently

The essential functions for this position are listed on the Assessment and Evaluation Tool.

 

 

REPORTING RELATIONSHIP

This position reports to department leadership.

The above statement reflect the general details considered necessary to describe the principle functions of the job as identified and shall not be considered as a detailed description of all work requirements that may be inherent in the position.