Join to apply for the Junior Coder- On-site role at Westchester Medical Center Health Network Job Summary: The Junior Coder is responsible for coding medical records, including all diagnoses and operative and diagnostic procedures in patient medical records, using the current International Classification of Diseases (ICD10 CM/PCS), Current Procedural Terminology (CPT) and Health Care Financing Administration Common Procedures Coding System (HCPCS) and entering coded information into an automated grouper system. Does related work as required. Responsibilities Using the current HCPCS, ICD10 CM/PCS and CPT coding system, assigns and records an accurate code to all diagnoses, procedures, and operations as documented by the attending physician in the indicated patient’s medical record. Ensures that all factors necessary for assigning an accurate DRG are present, and that all diagnoses are ranked properly. Makes appropriate contacts in order to acquire or clarify necessary information. Enters final diagnostic code numbers and narrative descriptions of diagnoses and procedures into an automated grouper system. Abstracts information from medical records to compile reports and statistical information. Enters data such as diagnosis, treatment, admission and discharge dates, and length of stay on hospital-wide or regional automated database. Participates in other medical records functions, as assigned. Query appropriate provider as necessary regarding documentation of diagnosis and/or procedure. Tracker management: Coding queries and Denials. Performs other duties as assigned. Qualifications / Requirements Experience: The Junior Coder should have either of the following:
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