The Coder/Analyst is responsible for reviewing diagnostic and procedural documentation in complete patient medical records. The role codes records using ICD-9-CM, ICD-10-CM, and CPT-4 coding systems, sequences diagnoses and procedures, and assigns DRGs to support the billing process.
The Coder/Analyst also assists with accurate coding in other departments, such as Anesthesia, to ensure adherence to the facility Compliance Plan and coding guidelines. In addition, the role supports the quality of documentation and participates in performance improvement efforts across the facility.
Acts as a resource for questions regarding coding and billing procedures.
Key responsibilities
- Review and code medical records using ICD-10-CM and CPT-4 coding systems.
- Sequence diagnoses and procedures and assign appropriate DRGs.
- Collaborate with billing and clinical teams to ensure coding accuracy.
- Monitor provider documentation and assist in quality improvement efforts.
- Stay current with regulatory guidelines and coding standards.
Education and certification
- Technical diploma or associate degree required; bachelor's degree preferred.
- CPC, CPH, or RHIT credential preferred, or willingness to obtain.
- Knowledge of ICD-10-CM, CPT-4 coding systems, and basic coding guidelines.
Location
Wisconsin, US
Employment Type
Not specified
Experience Level
Associate
Remote work allowed
No
Posted
1 month ago