Under supervision, this role is responsible for reviewing medical record documentation and assigning accurate ICD-10-CM, CPT-4, and HCPCS codes for inpatient and outpatient records. The position also involves abstracting relevant clinical and administrative data for reporting, analysis, and claims processing.
Key duties include:
- Assign diagnostic and procedural codes using computerized encoder and grouper tools
- Abstract required patient record elements such as providers, point of origin, service, discharge destination, discharge disposition, and present on admission
- Follow AHIMA ethical coding standards and official coding guidelines
- Maintain coding education and reimbursement reporting knowledge
- Submit queries when documentation is unclear or incomplete
- Support department teamwork and attend required meetings
- Review MCC and CC opportunities to improve documentation and query accuracy
Requirements & Qualifications
- High school diploma or GED required
- Coding certificate required
- AHIMA-approved credential required: RHIA, RHIT, CCS, or CCA
- Strong knowledge of ICD-10 and CPT coding systems
- Ability to work independently and collaboratively
- Enthusiastic, motivated, and positive attitude
- 5 years of healthcare/medical coding experience preferred
Location
Indiana, US
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
No
Posted
1 month ago
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