Job Title:
Med Records Coding Spec - Lead
Job ID:
James Cancer Hospital/CCC
Radiation Oncology
Full/Part Time:
FTE %:
Salary Range Min:
Salary Range Max:

Position summary

Med Records Coding Spec - Lead (Job Opening 440706) - The position is responsible for training and supporting new medical record coding specialists. The Lead Codera??s responsibilities also include auditing the coding of records, assuring inpatient and outpatient coding policies and procedures reflect practice, ensuring the integrity of information in the electronic medical record, and monitoring completion of coding activities. This position also codes medical records and other documents at the conclusion of the patienta??s visit. This requires selection of appropriate admitting diagnosis, principal and secondary diagnoses, principal procedure and secondary procedures; assigning accurate ICD-10 and/or CPT-4 codes; sequencing the diagnoses and procedures codes; and abstracting information including admission source, type, disposition, admitting, attending and procedure attending physicians. Codes are selected in the Encoder Software following review of information in the electronic medical record system, IHIS. Information abstracted and coded is interfaced to IHIS Resolute Billing system. This staff member is responsible to address all edits during the coding and abstracting process for complete and accurate coding and MS-DRG and APR-DRG assignment for hospital reimbursement. This staff member will maintain productivity and quality standards set for the department maintain an approved work schedule and submit a weekly volume log. The Lead Coder may also provide area coverage in the absence of a manager.

Education and experience

For hire or promotion: a?? Associate Degree in Health Information Management or other qualifying associate degree in health care OR a?? Minimum two years of daily hospital coding production specific to the area of discipline (i.e. inpatient coding or outpatient coding). Generally, lead medical records coding specialists are inpatient or outpatient coders promoted from the medical records coding specialist role or senior medical records coding specialist role at OSUWMC. AND Accredited as a Registered Health Information Administrator (RHIA) or Registered Health Information Technician (RHIT) or Certified Coding Specialist (CCS) by the American Health Information Management Association, or Certified Outpatient Coder (COC) by AAPC or