Coder Lead

At Steward Health Care System, we are committed to improving the health of our communities by delivering exceptional, personalized behavioral health care with dignity, compassion and respect. Our continued focus on the patient experience informs our caregivers in how to provide care that is respectful of and responsive to individual patient and family preferences, needs and values.

We dedicate ourselves in the communities we serve to delivering affordable health care to all and being responsible partners. No matter what your role, as a member of the Steward family, you are a specialist in the making every patient and family feel right at home, every co-worker a key to our success, and every referring practice, a team of prized colleagues.

In support of this, we commit ourselves to the following values:

Compassion

Accountability

Respect

Excellence

Stewardship

If you are seeking a fast-paced, challenging position in an organization committed to achieving and maintaining a standard of excellence in all we do, our organization may be a good fit for you.

Full Time 40 Hours Per Week

Day shift Weekends and Holidays as Needed

Responsibilities: Demonstrates extensive knowledge of medical terminology, anatomy and physiology, human disease process and ICD-9-CM, CPT-4, and E&M codes/modifiers. Reviews the entire outpatient encounter medical record to identity diagnoses and procedures performed. Assigns appropriate ICD-9-CM, CPT-4, and E&M codes/modifiers upon review of the medical record documentation, including test results, as appropriate, identifies the primary diagnosis for the health care encounter as well as other medically necessary diagnoses and procedures in accordance with accepted coding conventions. Reads and effectively integrates the Coding Clinic and CPT Assistant publications references in making accurate coding decisions. Consults with Coding Supervisor or physician when selection of diagnosis or procedure is in question. Prioritizes tasks and works independently. Demonstrates organizational, communication and inter-personal skills. ; Abstracts all coded data into Meditech Abstracting system. Demonstrates knowledge of the Meditech Information System and the 3M Encoder. Tracks missing/incomplete charts and reconciles within 30 days of discharge.

Qualifications: CCS, CCS-P, CPC, RHIA or RHIT or equivalent vocational training; two years of coding experience in an acute care facility. Computer literacy including data entry skills.