Codes and abstracts diseases, procedures from the medical record according to ICD-CM and CPT classification systems
Participates in quality improvement activities by identifying specific cases and pertinent data as requested
Completes and monitors follow up activities, complete documentation, MD Query responses, claim and DNB edits, daily
Communicates with physicians concerning incomplete documentation and clarification of diagnoses/procedures utilizing appropriate facility query process
Validates coding to assure proper APC assignment
Requirements
Formalized education that provides knowledge and experience in the following areas: 1) Assigning ICD-CM and CPT coding classifications in an acute care setting; 2) UHDDS reporting requirements; 3) Medical terminology, anatomy, chemistry, pharmacology, physiology, and disease process