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Job Responsibility:
Functions as an advanced coder in the abstraction and in-depth analysis of a variety of medical documentation and assigns appropriate procedural terminology and medical codes in accordance with applicable coding rules and policies (e.g. ICD-10, CPT-4, HCPCS, DRG)
Analyzes, enters and manipulates database
Responds to or clarifies internal requests for medical information
Uses thorough knowledge of coding systems and system logic to review codes created by electronic charge capture and/or assign codes (ICD-10-CM, E/M, CPT, HCPCS and modifiers) through medical record documentation in accordance with universally recognized coding guidelines
Reviews and resolves coding denials
Resolves problems with claims having errors related to improper coding and provides feedback for correction and follow-up
Abstracts data and reviews codes for accuracy
Performs system edit checks and corrects errors as needed
Responds to coding information requests from various sources
Communicates document improvement opportunities and coding issues to providers, department, and/or designated leader for follow up and resolution
Consults with internal customers and external vendors to obtain greater specificity and/or clarification when documentation appears inconsistent or incomplete
Other duties as assigned
Requirements:
HS Diploma
Associates degree in Health Information Technology or health related field (preferred)
1 years’ experience as Medical Coder
Additional coding experience in area of assignment (preferred)
or equivalent combination of education and experience
Knowledge of ICD-10CM, CPT and HCPSC required
Working knowledge of medical terminology and anatomy required
Successful completion of American Health Information Management Association (AHIMA) accreditation examination for Registered Health Information Administrator (RHIA) or (Registered Health Information Technician) RHIT or Certified Coding Specialist (CCS) (preferred)
Or Certified Professional Coder (CPC) from American Academy of Professional Coders (AAPC) or Certified Medical Coder (CMC) from Practice Management Institute (preferred)
Nice to have:
Associates degree in Health Information Technology or health related field
Additional coding experience in area of assignment
Successful completion of American Health Information Management Association (AHIMA) accreditation examination for Registered Health Information Administrator (RHIA) or (Registered Health Information Technician) RHIT or Certified Coding Specialist (CCS)
Or Certified Professional Coder (CPC) from American Academy of Professional Coders (AAPC) or Certified Medical Coder (CMC) from Practice Management Institute