Basic Function:
Responsible for evaluating inpatient and outpatient medical records to determine the course of patient treatment in order to ensure a correct diagnosis and procedure (if applicable), and appropriate code assignment. Ensures appropriate reimbursement by coding timely and accurately in accordance with both national and payer specific requirements/guidelines. Provides accurate coding for all inpatient and outpatient accounts using ICD-10-CM, ICD-10- PCS, and CPT4 codes. Ensures regulatory guidelines are met when assigning codes to an episode.
Qualifications:
Required:
One to three years coding or equivalent experience in a healthcare setting OR applicable education or certification in Medical Coding. Advanced computer skills. Successful completion of applicable clearances as outlined in Human Resources policy HR-106 within 90 days of commencing employment.
Preferred:
Graduate of a state approved Registered Health Information Technician Program (RHIT), Certified Coding Specialist (CCS), or Certified Professional Coder (CPC). Five years’ experience in an acute care setting. Experience with coding utilizing the suite of 3M tools including Computer Aided Coding (CAC) and Healthcare Data Management (HDM).
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