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Coder

Analyzes each medical record to determine the principle and all secondary diagnoses and procedures; assigns *ICD-9-CM and *CPT4 codes using coding guidelines established by the Health Care Financing Administration (HCFA), American Hospital Association (AHA), and SMMMC. Coordinates and conducts ongoing reviews of patient medical documentation and procedural and diagnosis coding by each physician.

*ICD-9-CM: International Classification of Diseases & Operations, 9th Revision, Clinical Modification
*CPT4: Physicians= Current Procedural Terminology, 4th Revision

  • Associates degree in allied health related field, including classes in medical terminology, anatomy and physiology; Or, two years of increasingly responsible medical records experience with exposure to medical terminology, anatomy, physiology, and coding. Current Accredited Records Technician and/or Certified Coding Specialist credentialing preferred.
  • Knowledge of:
    - Disease process and lab.
    - CPT-4 and ICD-9 coding procedures.
  • Ability to use a keyboard and possess competent computer skills.
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