Position Summary
Analyzes medical records to support accurate sequencing and assignment of ICD-10-CM, ICD-10-PCS, and CPT codes. Confirms appropriate DRG assignment, communicates with physicians for documentation clarification, abstracts and enters data from medical records for statistics and reporting, and assists the Business Office with timely patient billing.
Responsibilities
- Review medical records to determine ICD-10-CM, ICD-10-PCS, and CPT codes in accordance with coding and reimbursement guidelines.
- Verify and abstract clinical information from medical records to maintain database integrity.
- Apply UHDDS standards for principal diagnosis, principal procedure, complications, and comorbid conditions.
- Review unbilled accounts daily and make necessary adjustments to support timely coding.
- Review case mix reports weekly and follow up on records requiring re-review.
- Participate in coding and abstracting quality reviews.
- Assist physicians with coding versus clinical clarification.
- Support other coders by answering coding questions and referring issues to the Unit Leader as needed.
- Contact physicians for clarification when necessary.
- Complete interim billing for rehabilitation and transitional care unit patients as requested.
- Follow policies, procedures, and safety standards and participate in quality improvement initiatives.
- Perform other duties as assigned.
Requirements & Qualifications
Qualifications
- No specific minimum education required; equivalent experience and/or formal education sufficient to demonstrate the knowledge, skills, and abilities needed for the role.
- Associate's degree level knowledge preferred.
- Bachelor's degree in a directly related field preferred.
- No minimum experience required.
- No licensure required.
Location
Tennessee, US
Employment Type
Full-time
Experience Level
Entry Level
Remote work allowed
No
Posted
1 month ago