Position reports to the Coding Manager and is responsible for assigning appropriate diagnostic and procedural codes to patient medical records for data retrieval, analysis, and claims processing.
Key responsibilities include:
- Abstract pertinent information from patient records into the appropriate computer system for statistical and billing purposes
- Assign ICD-CM, ICD-PCS, discharge disposition, MS-DRG group assignments, and other applicable data
- Coordinate with Clinical Documentation Specialists and quality teams to validate MSDRGs, patient safety indicators, and hospital-acquired conditions based on physician documentation
- Work with CDS staff and physicians to identify documentation improvement opportunities that support accurate coding, Risk of Mortality (ROM), Severity of Illness (SOI), and DRG assignment
- Query physicians when code assignment conflicts with documentation or when electronic medical record documentation is inadequate
- Stay current on coding guidelines, reimbursement, and reporting requirements
- Maintain coding accuracy rates in alignment with department goals and objectives
Requirements & Qualifications
Education
- High School Diploma or GED
Licensure and Certifications
- RHIA, RHIT, CCS, CIC, or CPC required
Experience
- Minimum of 6 months of coding experience required
- Minimum of 2 years of inpatient coding experience preferred
- Experience with Clinical Documentation Improvement programs and clinical validation preferred
- Working knowledge of quality metrics and risk adjustment coding impacts preferred
Location
Arkansas, US
Employment Type
Full-time
Experience Level
Entry Level
Remote work allowed
No
Posted
1 week ago
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