Beacon Health System
Granger, IN
Overview Reports to the Manager, Coding & Records. Reviews, codes, and analyzes medical records to abstract relevant data into the on-line computer system and assigns DRGs to Medicare, Medicaid, and other required payors. Determines DRG and APC assignment on outpatient and inpatient records. Maintains productivity and accuracy levels for the assigned job code.
Responsibilities Review and analyze discharged patient medical records to ensure all applicable data is available for coding and abstracting, following established coding principles and guidelines (AHA, AHIMA, CMS) for outpatient and inpatient records.
Obtain accurate and complete patient data through review of the medical record, discharge summary, history and physical, consultation, progress notes, laboratory, radiology, operative and pathology reports.
Code all procedures on inpatient records (all payors) and outpatient surgical records according to ICD-9-CM Codes, CPT-4 or Physician E&M levels (as applicable)....