code inpatient and/or outpatient hospital records, ED records, Home Health & Hospice records and/or professional fee services for PMG specialty providers
demonstrate coding expertise in a specific specialty deemed a critical business need by PHS Coding Leadership
ensure adherence to Hospital and Departmental Policies and Procedures
review the patient's entire current medical record, assigning appropriate codes including CPT, ICD and MS-DRG
access several systems via the computer to research the medical record when needed to complete the coding in a timely manner
take responsibility for accounts receivable by looking for lost documents to ensure all encounters are coded
maintain and disseminate up-to-date technical knowledge of legal and regulatory information from all appropriate jurisdictions concerning the given business area
responsible for resolving any and all pre-bill edits, denials for assigned accounts
participate in all departmental in-services and updates to stay current with accepted coding guidelines

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

Claim Edit Coder

Key skills