Utilizes technical coding expertise to assign appropriate ICD-10-CM and CPT-4 codes to outpatient visit types
Reviews the medical record thoroughly, utilizing all available documentation to code appropriate diagnoses and procedures
Interprets health record documentation using knowledge of anatomy, physiology, clinical disease process, pharmacology, and medical terminology to report appropriate diagnoses and/or procedures
Sends appropriate physician queries when required for documentation clarification
Meets established minimum coding productivity (90%) and quality standards (95%) for each outpatient encounter type
Requirements
Credentialed by the AHIMA (American Health Information Management Association)
CE requirement to remain credentialed is 20-30 CE's every two years
3-4 years of coding experience in an acute healthcare setting