Reviews patient records in a timely manner to identify an appropriate selection of codes to accurately reflect the reason for admission, extent of care received, and level of severity of illness. Ensures all data elements required for federal and state reporting are collected and included in the patient's demographic record. Codes, sequences and abstracts diagnoses and procedures for all inpatient, ambulatory, observation, in accordance with ICD-10, CPTand Coding Clinic guidelines.
Minimum Job Requirements
Certified CCS (Coding Specialist), CIC or RHIA
2-4 years Medical coding experience
#INDMP
Essential Duties and Responsibilities
Assigns ICD-10-CM diagnosis and procedure codes using the 3M Encoder for all inpatient accounts & maintains a 95% accuracy rate when coding & sequencing medical records.
Assist outpatient coders with coding for ambulatory and observation as needed.
Reviews and codes an average of 12 accounts per day as per the productivity standards as outlined in department policies & procedures and seeks supervisor assistance when such standards cannot be met.
Maintains and submits to Leader on a weekly basis required productivity logs for all assigned tasks.
Reviews unbilled accounts on a daily basis to identify those pending; maintains unbilled accounts at the expected rolling average within the assigned financial goal & within 4 days of discharge.
Pull medical information from inpatient medical records for coding.
Knowledge/Skills/Abilities
High school education or equivalent preferred.
Completion of an accredited Coding Education program preferred
Ability to communicate effectively in English both verbally and in writing.
Ability to learn appropriate software application(s).
Able to maintain confidentiality of sensitive information.
Able to relate cooperatively and constructively with customers and co-workers.
Adaptable to frequent changes in assignments.
Proficient in alphabetical and numerical filing systems.