Certified Professional Coder

Key responsibilities

• Review discharged patient records for accurate diagnosis and procedure coding
• Apply AHA, AHIMA, and CMS coding guidelines for inpatient and outpatient records
• Code procedures using ICD-9-CM, CPT-4, and E&M level codes as applicable
• Abstract diagnosis and procedure data into the hospital computer system
• Assign DRGs and APCs using grouper software
• Resolve coding edits, medical necessity issues, and questionable sequencing with physicians or management
• Participate in internal/external audits and coding education

Qualifications

• Coursework in medical terminology, anatomy, and physiology
• Knowledge of ICD-9-CM and CPT-4 coding principles
• One year of coding experience preferred
• Certification required: RHIT, RHIA, CCS, CCS-P, CPC, CPC-H, or CCA
• Non-credentialed applicants must obtain CCCA within two years of start date
• Strong knowledge of DRG assignment and reimbursement guidelines
• Ability to type at least 40 WPM with strong accuracy
• Accuracy standard of 92% for Level I/II; 95% for Coding Specialist level