Under supervision, perform work involving the thorough examination and evaluation of medical record documentation to accurately assign ICD-10-CM, CPT 4, and HCPCS codes and abstract relevant information from inpatient and outpatient records.
Responsibilities
- Abide by the Standards of Ethical Coding as set forth by AHIMA and follow official coding guidelines.
- Complete HealthStream coding compliance tasks.
- Apply appropriate diagnostic and procedural codes to patient health information for data retrieval, analysis, and claims processing using a computerized encoder and grouper.
- Abstract required record elements, including admitting provider, attending provider, other providers, point of origin, primary service, discharge destination, discharge disposition, and present on admission.
- Maintain coding education and stay current on coding guidelines and reimbursement reporting requirements.
- Query appropriate disciplines for additional or clarifying documentation to ensure coding accuracy and completeness.
- Contribute to team and departmental improvements, including review of MCC and CC lists for query and documentation opportunities.
- Attend required departmental meetings and complete internal communication expectations.
Requirements & Qualifications
Qualifications
- Considerable knowledge of ICD-10 and CPT coding systems.
- Ability to work independently and collaboratively as part of a team.
- Enthusiastic, motivated, and positive attitude.
- Successful completion of a coding certificate program with AHIMA approval status; RHIA, RHIT, CCS, or CCA required.
Education
- High School Diploma or GED required.
- Certificate required.
- 5 years of healthcare/medical coding preferred.
Location
Indiana, US
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
No
Posted
3 months ago
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