05 Apr
Florida, Verobeach , 32960 Verobeach USA

Job Profile Summary:

Identifies, reviews, and assigns moderately complex ICD-9-CM and ICD-10-CM, and CPT codes. Abstracts clinical information for emergency department/outpatient types for the purpose of reimbursements, research, and compliance with federal regulations and other agencies utilizing established coding principles and protocols.


  • 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.


High School diploma is required.


Certified Professional Coder (CPC), Certified Outpatient Coder (COC), Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT) or Certified Coding Specialist (CCS) is required and must be maintained.

Complexity of Work:

Requires critical thinking skills, decisive judgment, and the ability to work with minimal supervision. Must be able to work in a stressful environment and take appropriate action.

Work Experience:

A minimum of one year of prior experience abstracting, identifying, reviewing, and assigning moderately complex ICD-9-CM and ICD-10-CM, and CPT codes for the emergency department and outpatient types is required. Successful completion of the Cleveland Clinic Coder Trainee Program may offset the experience requirement.

Physical Requirements:

Physical demands require standing, walking, sitting, lifting, carrying up to 25 lbs. Close, distant, and color vision is required. Requires manual dexterity to grasp and handle records and to operate a PC computer in the course of work. The work environment is at a moderate noise level (business office with phones, copiers, computers, and printers).

Personal Protective Equipment:

Follows Standard Precautions using personal protective equipment.

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