Westchester Medical Center Health Network
Warwick, NY
The Coder is responsible for coding medical records, including all diagnoses and operative and diagnostic procedures in patient medical records, using the current International Classification of Diseases (ICD 10 CM), Current Procedural Terminology (CPT) and Health Care Financing Administration Common Procedures Coding System (HCPCS) and entering coded information into an automated grouper system. Does related work as required.
Responsibilities
Using the current HCPCS, ICD 10 CM and CPT coding systems, assigns and records an accurate code to all diagnoses, procedures, and operations as documented by the attending physician in the indicated patient00s medical record.
Ensures that all factors necessary for assigning an accurate APC/APGs are present, and that all diagnoses are ranked properly.
Makes appropriate contacts in order to acquire or clarify necessary information.
Enters final diagnostic code numbers and narrative descriptions of diagnoses and procedures into an automated...