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Top 45 Health Information Coder Skills

Below we've compiled a list of the most important skills for a Health Information Coder. We ranked the top skills based on the percentage of Health Information Coder resumes they appeared on. For example, 15.8% of Health Information Coder resumes contained Patient Care as a skill. Let's find out what skills a Health Information Coder actually needs in order to be successful in the workplace.

These Are The Most Important Skills For A Health Information Coder

1. Patient Care
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high Demand
Here's how Patient Care is used in Health Information Coder jobs:
  • Assisted physicians and other direct patient care professionals with questions regarding level of detail for diagnostic entries.
  • Attend weekly teams conference to capture patient updates and the most accurate information for the patient care team.

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71 Patient Care Jobs

No jobs at selected location

2. Cpt-4
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high Demand
Here's how Cpt-4 is used in Health Information Coder jobs:
  • Used gold standard coding techniques to increase productivity and quality while assigning diagnoses and procedures via ICD-CM and CPT-4 codes.

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3. State Regulations
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high Demand
3 State Regulations Jobs

No jobs at selected location

4. Diagnosis
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high Demand
Here's how Diagnosis is used in Health Information Coder jobs:
  • Review and interpreted medical record documentation to identify conditions and treatments in order to accurately record diagnosis and optimize reimbursement.
  • Examined diagnosis codes for accuracy, completeness, specificity and appropriateness according to services rendered.
  • Researched new and updated diagnosis and procedure guidelines for accurate code selection.
  • Maintained quality and productivity standards --Communicated with different departments about invalid diagnosis
  • Educated physicians and providers on diagnosis and procedure guidelines when necessary.
  • Audit and validate ICD-9 diagnosis, procedure coding and CPT coding for accuracy.
  • Enter all admitting diagnosis and POA diagnosis into the system timely.
  • Assign ICD-10 diagnosis codes to chart Review OASIS for accuracy
  • Review of medical records for documentation to identify the principal diagnosis and/or procedure and all applicablesecondary diagnosis and procedures.
  • list of more coded diagnosis available upon request

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278 Diagnosis Jobs

No jobs at selected location

5. Emergency Room
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high Demand
Here's how Emergency Room is used in Health Information Coder jobs:
  • Selected appropriate Evaluation/Management levels of Emergency Room records for billing purposes.
  • Job Performed: Inpatient, Same Day Surgeries, Emergency Room, Urgent Care, Ancillary coding/abstracting.
  • Coded inpatient, outpatient, observation, emergency room and diagnostic ancillary services.
  • Code records inpatient, outpatient, special procedures, and Emergency Room patients.
  • Coded Emergency Room services for a Level 1 Trauma center.
  • Provide training for Emergency Room Revenue Audits.

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13 Emergency Room Jobs

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6. Clinical Staff
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high Demand
10 Clinical Staff Jobs

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7. Health Care
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high Demand
Here's how Health Care is used in Health Information Coder jobs:
  • Assign codes to documented patient care encounters (inpatient and outpatient) covering the full range of health care services.
  • Review all Oasis for the home health care for SOC, REC, ROC.

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257 Health Care Jobs

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8. Medical Records
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high Demand
Here's how Medical Records is used in Health Information Coder jobs:
  • Protect the security of medical records to ensure that confidentiality is maintained.
  • Coordinated medical records, medical executive and medical staff committee meetings.
  • Abstract pertinent information from patient medical records.
  • Review and abstract patient medical records to assign diagnoses, treatments, surgical procedures non-surgical procedures for professional services.
  • Coded and abstracted medical records (3M-Meditech System), while maintaining productivity and quality standards surpassing 95%.
  • Break down medical records in to chart, then code all the diagnosis in the HMS system.
  • Performed audits on medical records for correct coding/billing in all specialties and trained the providers as necessary.
  • Abstracted information from medical records for all specialties, processing 50 to 120 records daily.
  • Participate in the following committees: Medical Records, Compliance, Accounts Receivable.
  • Retrieve patient medical records for physicians, technicians, or other medical personnel.
  • Assign appropriate ICD 9 and CPT codes from reviewing physician medical records.
  • Review and audit medical records for correct DRG and APC assignment.
  • Abstracted medical records with ICD9-CM, CPT and DRG coding.
  • Answer all calls regarding medical records request.
  • Filed medical records, copying, scanning.
  • Assisted patients with obtaining their medical records.
  • Supervised filing and creations of medical records.
  • Released medical records based on HIPPA regulations.
  • Abstracted medical records with ICD-9/10-CM, CPT, with dual coding via 3M.
  • Coded and abstracted medical records (Clin-tract System) maintaining productivity and quality standards.

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406 Medical Records Jobs

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9. Facility
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high Demand
Here's how Facility is used in Health Information Coder jobs:
  • Provide clerical services in registering patients and guests in ambulatory surgery facility.
  • Review and analyze physician and resident professional and facility medical documentation.
  • Developed policy and procedures for the department and facility.
  • Maintained the legacy system used by the facility.10.
  • Experienced coder for both facility & provider offices, for all settings, Inpatient,Outpatient, RHC & specialty clinics.
  • Maintain and update facility chargemaster Review records for completeness, accuracy, and compliance with regulations.

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69 Facility Jobs

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10. Surgery
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high Demand
Here's how Surgery is used in Health Information Coder jobs:
  • Go over physicians schedule the day before to verify where patients can go for surgery.
  • Experienced as an outpatient coder coding Emergency, Ambulatory Surgery, and Ancillary encounters.
  • Charge Nurse, Emergency Center/Outpatient Surgery Center.

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80 Surgery Jobs

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11. Icd-9-Cm
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high Demand
Here's how Icd-9-Cm is used in Health Information Coder jobs:
  • Assign ICD-9-CM diagnostic and procedure, CPT, and E/M codes to medical information consistent with regulatory guidance and best practices.
  • Applied current ICD-9-CM and CPT/HCPCS coding guidelines and reimbursement reporting requirements were followed to ensure complete and accurate coding.
  • Applied ICD-9-CM and CPT coding guidelines to assign and sequence the correct diagnosis and procedure codes for outpatient services.
  • Ensured ICD-9-CM coding, impairment group and CMS Assignments are accurate and follow coding Guidelines.
  • Assigned ICD-9-CM codes to outpatient charts.
  • Attended seminars for updates on ICD-9-CM and completed Precyse and Optum ICD-10-CM/PCS modules.

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12. Icd-10-Cm
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high Demand
Here's how Icd-10-Cm is used in Health Information Coder jobs:
  • Code inpatient records for reimbursement, research and compliance with federal regulations using ICD-10-CM, CPT and DSM-IV classification systems.

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13. CPC
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high Demand
Here's how CPC is used in Health Information Coder jobs:
  • Validate and abstract CPT, ICD-10 and HCPCS codes from professional and facility medical documentation.
  • Initiated the use of HCPCS to increase the revenue on procedures and supplies.
  • Job Duties: Certified CPC coder.
  • Reconcile CPT, ICD-10 and HCPCS codes as needed.

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50 CPC Jobs

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14. DRG
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average Demand
Here's how DRG is used in Health Information Coder jobs:
  • Conduct review of Insurance Company DRG reassignments and appeal records when indicated.
  • Abstract DRG's and information into the CDIS program.

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372 DRG Jobs

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15. Radiology
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average Demand
Here's how Radiology is used in Health Information Coder jobs:
  • Job Task: Radiology, Outpatient, Inpatient

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14 Radiology Jobs

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16. Hipaa
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average Demand
Here's how Hipaa is used in Health Information Coder jobs:
  • Chart management, HIPAA Compliance, Provider communication, Aftercare documentation followup
  • Maintain established department policies and procedures, objectives, QA program, HIPAA compliance, environmental and infection control standards.
  • Trained staff on the HIPAA regulations.
  • Enforced HIPAA of the dept.
  • Release client information per hospital policy, state and federal regulations, and HIPAA guidelines.
  • Maintain strictest confidentiality of patient and clients, abiding by HIPAA.

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16 Hipaa Jobs

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17. Epic
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average Demand
Here's how Epic is used in Health Information Coder jobs:
  • Provide coding opportunities for enhanced reimbursement and abstracting data into EPIC system.
  • Utilize Epic and 3M Encoder to code home health encounters.
  • Experienced using hospital systems including Sovera, Meditech, SMS, HPF, SoftMed and EPIC.

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49 Epic Jobs

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18. Procedure Codes
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average Demand
226 Procedure Codes Jobs

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19. Insurance Companies
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average Demand
Here's how Insurance Companies is used in Health Information Coder jobs:
  • Follow up on unpaid claims, contact insurance companies regarding discrepancies, research and appeal denied claims.
  • Created reports and other documentation for patients, hospital administration, physicians and also the insurance companies.
  • Work with clinic and hospital billing agencies to ensure proper payment from insurance companies.
  • Handle overpayment reimbursements for patients and insurance companies.
  • Worked closely with insurance companies, healthcare facilities, lawyers and patients to ensure customer satisfaction and problem resolution.
  • Transferred information between healthcare providers and insurance companies so the proper reimbursement could be generated and paid.

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10 Insurance Companies Jobs

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20. EMR
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average Demand
Here's how EMR is used in Health Information Coder jobs:
  • Installed programs to connect physician offices with the hospital's EMR and taught the clinic staff how to use the program.
  • Experience with McKesson EMR Working toward HCS-D certification

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15 EMR Jobs

No jobs at selected location

21. Medicaid
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average Demand
Here's how Medicaid is used in Health Information Coder jobs:
  • Specialize in CMS - Centers for Medicare and Medicaid coding and supervision.
  • Launched the implementation of Electronic Medical Records Built new clients portfolio and clients payments (Medicaid)
  • Performed collections duties Patient scheduling Responsible for administering charge posting and payment posting Medicaid billing and follow-up processing Government and Commercial Coder

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38 Medicaid Jobs

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22. Physician Documentation
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average Demand
Here's how Physician Documentation is used in Health Information Coder jobs:
  • Analyze discharge charts for physician documentation incompleteness and create doctor deficiencies reports.
  • Assist all ancillary staff with coding questions, finding charts and physician documentation.

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1 Physician Documentation Jobs

No jobs at selected location

23. Meditech
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average Demand
Here's how Meditech is used in Health Information Coder jobs:
  • Utilize QuadraMed/ McKesson/ and Meditech software and input information into computerized patient record system.

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16 Meditech Jobs

No jobs at selected location

24. Accuracy Rate
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average Demand
Here's how Accuracy Rate is used in Health Information Coder jobs:
  • Maintain a minimum of 95% accuracy rate.
  • Work closely with CDI's for query submissions Overall accuracy rate of 98% per concurrent review process.

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25. APC
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average Demand
Here's how APC is used in Health Information Coder jobs:
  • Correct coding and billing errors on APC error report daily.
  • Assign appropriate APCs to patient accounts.

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26. Physical Therapy
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average Demand
27. Quality Standards
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low Demand
Here's how Quality Standards is used in Health Information Coder jobs:
  • Maintained productivity and quality standards.
  • Required to meet productivity and quality standards, audited quarterly for accuracy to be maintained to at least 95%.
  • Provided coding support in all patient settings (IP/OP/OSV/Ambulatory Surgery/ER) utilizing coding guidelines and quality standards.
  • Developed and monitored quality standards on a monthly and annual basis.
  • Maintain production and quality standards as set forth by Healthcare Resource Group.

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28. Ahima
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low Demand
Here's how Ahima is used in Health Information Coder jobs:
  • Abided by the Standards of Ethical Coding as set forth by the AHIMA and adhered to the official coding guidelines.

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29. E/M
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low Demand
Here's how E/M is used in Health Information Coder jobs:
  • Position for Health Information Coder includes E/M coding and surgery coding utilizing CPT and ICD-9 CM.
  • Determined E/M levels for all ER and Urgent Clinic providers using Medicare audit template.

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30. Customer Service
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low Demand
Here's how Customer Service is used in Health Information Coder jobs:
  • Claim's processor and Customer Service Representative
  • Audit customer service phone calls, claim processing, with teaching and mentoring.
  • Provided extensive medical record training, customer service and legal training.

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11 Customer Service Jobs

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31. Documentation Requirements
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low Demand
Here's how Documentation Requirements is used in Health Information Coder jobs:
  • Educate physicians on supporting documentation requirements per CMS guidelines.

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32. Hippa
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low Demand
Here's how Hippa is used in Health Information Coder jobs:
  • Train for open enrollment of the annual benefit changes, Medicare update and helped implement new training program and HIPPA policies.

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33. Diabetes
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low Demand
34. Diagnostic Codes
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low Demand
Here's how Diagnostic Codes is used in Health Information Coder jobs:
  • Assigned diagnostic codes to inpatient Psychiatric charts using DSM-4 classification system.
  • Abstract medical record and correctly assign diagnostic codes.

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35. Classification System
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low Demand
36. OP
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low Demand
Here's how OP is used in Health Information Coder jobs:
  • Provided consulting services to personal care/assisted living facilities regarding record management, chart documentation, staff training and development.
  • Complete deficiency slips for missing information and assign deficient records to appropriate physicians for completion.
  • Acted as liaison to physicians, communicating clinical documentation issues and opportunities to physicians.
  • Identify and communicate problems and opportunities for documentation improvement.
  • Apply the appropriate diagnostic and procedural code to patient health records for purposes of document retrieval, analysis and claim processing.
  • Coordinate the Day to Day operation of the coding staff and management of the accounts receivable for the coding unit.
  • Code and analyze complex and detailed in-patient and out -patient's records assign accurate code for proper reimbursement.
  • Assisted in the maintenance of medical charts and/or electronic medical record (filing, OP reports).
  • Review medical record information to identify all appropriate coding based on CMS HCC categories.
  • Instruct and counsel patients and their families on insurance and financial options available.
  • Instruct physicians on proper requirements and adherence to billing and coding guidelines.
  • Reviewed charts for correct admit/discharge dates and entered proper dates as needed.
  • Prepare copy and forward all patients discharge charts for Medicare audits quarterly.
  • Reason for leaving: To pursue more opportunities in coding.
  • Assign proper modifiers to ensure proper reimbursement.
  • Perform quarterly IP and OP coding audits.
  • Fort Worth, Texas June 1999- August 2001 HIM Supervisor / Coder Supervised the operations of the Medical Record Department.

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37. Care Providers
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low Demand
Here's how Care Providers is used in Health Information Coder jobs:
  • Release of protected health information requests for next care providers and urgent patient requests.

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38. Charge Entry
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low Demand
Here's how Charge Entry is used in Health Information Coder jobs:
  • Charge entry based on the Operative reports using ICD 10 and current CPT guidelines.

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51 Charge Entry Jobs

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39. Business Office
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low Demand
Here's how Business Office is used in Health Information Coder jobs:
  • Assist the Business Office with insurance denials to include appeal letters when possible.
  • Resolve business office questions concerning DRG's.

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40. Treatment Plans
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low Demand
6 Treatment Plans Jobs

No jobs at selected location

41. International Classification
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low Demand
42. Federal Regulations
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low Demand
11 Federal Regulations Jobs

No jobs at selected location

43. OT
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low Demand
Here's how OT is used in Health Information Coder jobs:
  • Notified physicians and ancillary departments when additional information needed to code the encounter.
  • Protect patients' rights by maintaining confidentiality of personal and financial information.
  • Managed refusal team and developed training protocol.
  • Assign correct ICD-10 and CPT codes to all accounts including but not limited to SDS, Observation, ER, Clinic.
  • Registered patients for lab appointments and notifying provider staff of patient's arrival, escorted patients to the correct area.
  • Assign and sequence codes for diagnoses, procedures, and other services as needed.
  • Read through clinical notes, OP reports and transfer documentation to verify accurate coding.
  • Code patient reports remotely with a quick and accurate turn time.
  • Coded and abstracted Inpatient records remotely for a teaching hospital.
  • Audited and educated all remote coders within the department.
  • Monitored daily not final billed (DNFB) status.
  • Provide service quotes for self pay and uninsured patients
  • Assist with training new coders in other facilities.
  • Coded both inpatient and outpatient charts.
  • Code remote and on-site every week.
  • Relocated records to pending not coded.
  • Provided coverage for other coders.
  • Communicate with physicians and other healthcare professionals to clarify, diagnose or obtain additional information.
  • Promoted to Physician Coder; to provide medical coding for nursing home visits Transferred paper records into an electronic format.
  • Assisted in other department functions per request of the HIM Director.

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44. HDM
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low Demand
45. Data Entry
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low Demand
34 Data Entry Jobs

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Health Information Coder Jobs

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20 Most Common Skills For A Health Information Coder

Patient Care

19.3%

Cpt-4

9.1%

State Regulations

8.7%

Diagnosis

7.5%

Emergency Room

5.9%

Clinical Staff

5.5%

Health Care

5.2%

Medical Records

5.0%

Facility

4.0%

Surgery

3.8%

Icd-9-Cm

3.6%

Icd-10-Cm

3.5%

CPC

3.4%

DRG

3.3%

Radiology

2.9%

Hipaa

2.1%

Epic

2.0%

Procedure Codes

1.9%

Insurance Companies

1.7%

EMR

1.6%
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Typical Skill-Sets Required For A Health Information Coder

Rank Skill
1 Patient Care 15.8%
2 Cpt-4 7.4%
3 State Regulations 7.1%
4 Diagnosis 6.1%
5 Emergency Room 4.9%
6 Clinical Staff 4.5%
7 Health Care 4.3%
8 Medical Records 4.1%
9 Facility 3.2%
10 Surgery 3.1%
11 Icd-9-Cm 3.0%
12 Icd-10-Cm 2.9%
13 CPC 2.8%
14 DRG 2.7%
15 Radiology 2.4%
16 Hipaa 1.7%
17 Epic 1.6%
18 Procedure Codes 1.5%
19 Insurance Companies 1.4%
20 EMR 1.3%
21 Medicaid 1.2%
22 Physician Documentation 1.1%
23 Meditech 1.1%
24 Accuracy Rate 1.0%
25 APC 1.0%
26 Physical Therapy 1.0%
27 Quality Standards 1.0%
28 Ahima 0.8%
29 E/M 0.8%
30 Customer Service 0.8%
31 Documentation Requirements 0.7%
32 Hippa 0.7%
33 Diabetes 0.7%
34 Diagnostic Codes 0.7%
35 Classification System 0.7%
36 OP 0.7%
37 Care Providers 0.6%
38 Charge Entry 0.6%
39 Business Office 0.5%
40 Treatment Plans 0.5%
41 International Classification 0.5%
42 Federal Regulations 0.5%
43 OT 0.5%
44 HDM 0.4%
45 Data Entry 0.4%
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4,709 Health Information Coder Jobs

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