About this role
Role Overview
- Reviews the content of the medical record for hospital and professional inpatient or outpatient records
- Carefully details review of documents such as laboratory findings, radiology reports, various scan reports, discharge summary, history and physical, consultations, orders, progress notes and other ancillary services treatment records
- Translates all diagnostic and procedural phrases utilized by healthcare providers into coded form using procedure codes
- Using the Encoder software program, determines the codes for all diagnoses and procedures
- Determines their sequencing to legally maximize reimbursement
- Assigns the appropriate DRG
- Queries physicians as needed to clarify documentation within the patient’s record
- Assists the Coding Quality and Professional Manager with training of new coding staff
Requirements
- High School Diploma or Equivalent (GED)
- (Required)
- Minimum of 1 year-Related work experience (Required)
- One relevant certification from AHIMA or AAPC is required upon hire
Benefits
- healthcare benefits for full time and part time positions from day one
- vision
- dental
- benefits for domestic partners