Codes more than one of the following: inpatient and/or outpatient hospital records, ED records, Home Health & Hospice records and/or professional fee services for PMG specialty providers
Ensures adherence to Hospital and Departmental Policies and Procedures
Reviews patients entire current medical record, assigning appropriate codes including CPT, ICD and MS-DRG
Abstracts data essential to the QI department in determining patient care issues as well as providing information to The Joint Commission
Accesses several systems via the computer to research the medical record when needed to complete the coding in a timely manner
Takes responsibility for accounts receivable by looking for lost documents to insure all encounters are coded
Responsible for resolving any and all pre-bill edits, denials, etc for assigned accounts
Maintains and disseminates up-to-date technical knowledge of legal and regulatory information from all appropriate jurisdictions concerning the given business area
Participates in all departmental in-services and updates to stay current with the accepted coding guidelines
Requirements
High school diploma/GED required
Must have any one of the following coding certifications at time of hire: HCS-D, CCS, CCS-P, CPC-H or CPC, or RHIT/RHIA with achievement of one of the coding credentials above within one year of hire
One-three years experience as a coder required
Must possess computer skills including, but not limited to, Word, Excel, PowerPoint
Experience with an encoder preferred
Experience with an Electronic Medical Record preferred
Must be able to use the internet and other electronic resources for the purpose of research