Coder, Certified Department: Health Info Management Schedule: Full Time Shift: Days Hours: 7:30am to 4:00pm Job Details: High School/GED Position Summary The Coder is responsible for the accurate diagnostic and procedural coding of medical records. The Coder is also responsible for the accurate abstracting of medical, financial and demographic information, in addition to performing other events. Core Duties and Responsibilities · Reviews medical record for proper assignment of diagnosis and procedure codes according to AHA coding guidelines · Assigns codes to diagnoses and procedures according to ICD-9-CM, ICD-10-CM, CPT, and Internal Coding Guidelines · Contacts Physicians and Other Healthcare Providers to clarify diagnoses and procedures · Sequence codes appropriately for accurate DRG · Abstracts required data from the medical record, including, but not limited to, Attending Physician, Discharge Disposition, ICD-9-CM , ICD-10-CM, CPT diagnosis and/or procedure codes, and Physician Consultation · Completes medical record abstracts · Verifies patient demographic data for accuracy and completeness by comparing data in computer system with the medical record · Reviews the accuracy and consistency of medical record documentation and brings any inconsistencies to the attention of the appropriate individual · Keeps up to date on coding and regulatory changes. Maintains individual abstracting and review manual · Achieves a “Meets Expectations” rating on coding /DRG audits · Meets productivity standards for coding Minimum Requirements · Certified Coding Specialist · RHIT or RHIA · 1 years experience as a medical coder in an acute care hospital setting · Knowledge and understanding of healthcare reimbursement methodologies and billing procedures · Knowledge of health information management functions and computer operations · Complete understanding of current coding system and guidelines (both ICD-9-CM and ICD-10-CM) Additional information To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed above are representative of the knowledge, skill, and/or ability required. This job description should not be construed as an exhaustive statement of duties, responsibilities or requirements, but a general description of the job. Nothing contained herein restricts the company’s rights to assign or reassign duties and responsibilities to this job at any time. Shore Medical Center is an Equal Opportunity Employer.
Posted on: Wed, 26 Nov 2014 11:22:52 +0000
Trending Topics
Recently Viewed Topics
© 2015