Provides accurate and timely assignment of appropriate ICD-10 diagnostic and PCS procedural codes on the medical records for the purpose of collecting and indexing quality health information for inpatient hospital encounters.
Reviews the medical record, identifies the diagnoses and procedures, and assigns ICD-10-CM diagnosis and ICD-10 PCS procedure codes for inpatient accounts.
Abstracts diagnostic and PCS procedural codes and other pertinent data into the network system as defined in policy and procedures.
Reviews/monitors assigned work queues and missing documentation encounters as needed, and codes and abstracts any accounts that were missed.
Provides information on specific problem accounts to the Coding Supervisor.
Other duties as assigned.
Requirements
3 years of experience in a hospital inpatient setting
Knowledge of medical terminology, anatomy and physiology, pharmacology, coding guidelines, and computers
Minimum of one of the following certifications: Registered Health Information Technologist (RHIT), Registered Health Information Administrator (RHIA), Certified Coding Specialist (CCS), Certified Inpatient Coder (CIC)