About this role
Role Overview
- Reviews and accurately interprets medical record documentation from all hospital accounts
- Identifies all diagnosis and procedures that affect the current outpatient encounter and assigns the appropriate ICD-10, CPT, or modifier codes for each diagnosis and procedure that is identified
- Codes the minimally complex patient classes
- Assigns hospital codes to a variety of patient classes
- Reviews charts and accurately determines the appropriate charges using charge tools, policies and procedures, and reference materials
- Inputs charges into the billing system
- Maintains productivity and accuracy standards according to departmental and hospital policy
- Assures that quality and timely coding, charging and abstraction of accounts are completed daily for assigned specialty areas
- Maintains and enhances current levels of coding knowledge through quality review, attendance and participation at clinical in-services and coding seminars, internal meetings, study of circulating reference materials, and inclusion of updates to coding manuals
- Assures the accuracy, quality, and timely review of data needed to obtain a clean bill
- Contacts physicians or any persons necessary to obtain information required to accurately code assignments
Requirements
- High School diploma or equivalent
- Current HIM or Coding Certification through one of the following or must obtain within one (1) year of hire: American Health Information Management Association (AHIMA)
- American Academy of Professional Coders (AAPC)
- Graduate of Health Information Technology (HIT) or equivalent program or Medical Coding Certification Program
Benefits
- Health insurance
- Professional development opportunities