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Become A Health Information Coder

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Working As A Health Information Coder

  • Getting Information
  • Processing Information
  • Documenting/Recording Information
  • Interacting With Computers
  • Organizing, Planning, and Prioritizing Work
  • Mostly Sitting

  • Repetitive

  • $63,565

    Average Salary

What Does A Health Information Coder Do At Cleveland Clinic

* Clarifies discrepancies in moderately complex documentation and coding; assures accuracy and timeliness of coding/abstracting assignments to expedite the billing process and to facilitate data retrieval for physician access and ongoing patient care.
* Performs follow-up coding of moderately complex medical records as a result of internal or external reviews which have identified Coding or APC discrepancies.
* Supports special studies in relation to coding and abstracting information according to policies and procedures.
* Maintains knowledge and skills; reads current coding resources, clinical information, videos, etc.
* Meets or exceeds productivity and quality standards and established department benchmarks.
* Assigns facility E and M (CPT) levels based on CCHS guidelines.
* Other duties as assigned

What Does A Health Information Coder Do At Lakeview Neurorehabilitation Center

* Responsible for maintaining the medical records program of
* the facility, and supporting the function of utilization review as required by
* regulations and standards.
* Work is performed in accordance with facility policies, rules
* and regulations, the Joint Commission on Accreditation of Healthcare
* Organizations, the Bureau of Quality Assurance, and state and federal statues of privileged
* information.
* Ensures that
* medical records are complete and accurate and conform to appropriate standards.
* Provides for the
* security and integrity of all medical records.
* Adheres to and promotes work practices consistent with
* Lakeview's mission, medical staff bylaws, administrative, clinical and human
* resource policies and procedures including maintaining a safe environment.
* Conducts coding,
* indexing, filing, preparation, and display of information; over sees the timely
* completion of medical transcription.
* Responsible for
* compiling statistical information, reporting audit trends to the Information
* management Lead Team.
* Proficient in ICD
* CM
* codes and navigating medical records.
* Assists facility
* privacy officer in overseeing all activities related to the development,
* implementation, maintenance of, and adherence to the organizations policies and
* procedures covering the privacy of, and access to, patient health information
* in compliance with federal and state laws and the healthcare organizations
* information privacy practices.
* Organized, able
* to multi-task, and ability to work well as a problem solver and systems
* builder.
* Demonstrates
* excellent customer service (internal and external).
* Working knowledge
* of diagnostic coding, Medicare and Medicaid regulations, JCAHO standards, and
* basic utilization review principles.
* Licensure: RHIT, CCS, or CCS
* P Required

What Does A Health Information Coder Do At St. Mary's Good Samaritan

* Applies the Standards of Ethical Coding developed by the American Health Information Management Association Council on Coding and Classification.
* Code the diagnosis and procedures according to ICD
* CM, ICD-10, and/or CPT
* for all inpatient and outpatient records.
* Abstract codes and medical record information within the EPIC and 3M system.
* Review preliminary PHI data and accurately assign Conditions POA .
* Abstract data for the state Tumor Registry reporting program.
* Perform data quality reviews on documentation and coding.
* Become proficient in all aspects of ICD
* coding utilizing 3M computer assisted coding application.
* Demonstrates a willingness to improve abilities and attend continuing education session to maintain credentials.
* Assures grouping which will provide optimal payment to which the facility is legally entitled by coding all documentation accurately according to coding guidelines.
* Educates physicians regarding improvements in documentation to meet established requirements, coding/reimbursement and quality of care issues.
* Generate coding queries so that documentation reflects the care of the patient and improves the overall quality of the physician documentation in the medical record

What Does A Health Information Coder Do At Stormont-Vail Healthcare

This job has no supervisory responsibilities

What Does A Health Information Coder Do At Spectrum Health

E & M, Imaging, Urgent Care, and Cardiology Testing

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How To Become A Health Information Coder

Health information technicians typically need a postsecondary certificate to enter the occupation, although some may need an associate’s degree. Certification is often required.


Postsecondary certificate and associate’s degree programs in health information technology typically include courses in medical terminology, anatomy and physiology, health data requirements and standards, classification and coding systems, healthcare reimbursement methods, healthcare statistics, and computer systems. Applicants to health information technology programs may increase their chances of admission by taking high school courses in health, computer science, math, and biology.

A high school diploma or equivalent and previous experience in a healthcare setting are enough to qualify for some positions, but most jobs for health information technicians require postsecondary education.

Important Qualities

Analytical skills. Health information technicians must be able to understand and follow medical records and diagnoses, and then decide how best to code them in a patient’s medical records.

Detail oriented. Health information technicians must be accurate when recording and coding patient information.

Integrity. Health information technicians work with patient data that are required, by law, to be kept confidential. They must exercise caution and a strong sense of ethics when working with this information in order to protect patient confidentiality.

Interpersonal skills. Health information technicians need to be able to discuss patient information, discrepancies, and data requirements with other professionals such as physicians and finance personnel.

Technical skills. Health information technicians must be able to use coding and classification software and the electronic health record (EHR) system that their healthcare organization or physician practice has adopted.

Licenses, Certifications, and Registrations

Most employers prefer to hire health information technicians who have certification, or they may expect applicants to earn certification shortly after being hired. A health information technician can earn certification from several organizations. Certifications include the Registered Health Information Technician (RHIT) and the Certified Tumor Registrar (CTR), among others.

Some organizations base certification on passing an exam. Others require graduation from an accredited program. Many coding certifications also require coding experience in a work setting. Once certified, technicians typically must renew their certification regularly and take continuing education courses.

A few states and facilities require cancer registrars to be licensed. Licensure requires the completion of a formal education program and the Certified Tumor Registrar (CTR) certification.


Health information technicians may advance to other health information positions by receiving additional education and certifications. Technicians may be able to advance to a position as a medical or health services manager after completing a bachelor’s or master’s degree program and taking the required certification courses. Requirements vary by facility.

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Health Information Coder jobs

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Health Information Coder Demographics


  • Female

  • Male



  • White

  • Hispanic or Latino

  • Asian

  • Unknown

  • Black or African American

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Languages Spoken

  • Spanish

  • Thai

  • Italian


Health Information Coder

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Top Skills for A Health Information Coder


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Top Health Information Coder Skills

  1. Medical Record Documentation
  2. Cpt-4
  3. Guidelines
You can check out examples of real life uses of top skills on resumes here:
  • Review and interpreted medical record documentation to identify conditions and treatments in order to accurately record diagnosis and optimize reimbursement.
  • Used gold standard coding techniques to increase productivity and quality while assigning diagnoses and procedures via ICD-CM and CPT-4 codes.
  • Keep abreast of coding guidelines and reimbursement reporting requirements.
  • Examined diagnosis codes for accuracy, completeness, specificity and appropriateness according to services rendered.
  • Coded Emergency Room services for a Level 1 Trauma center.

Top Health Information Coder Employers

Health Information Coder Videos

Work from Home Medical Billing, Advice, and More!

What is medical coding and how do I become certified?

Medical Coder, Career Video from drkit.org