VIRTUA

Summary: Codes and abstracts hospital medical records (Inpatients, Same Day Surgery, Invasive Outpatients, and Emergency Department) for diagnostic and procedural coding. Utilizes federal, state procedures/guidelines to assure accuracy of coding and abstracting and productivity standards. Collaborates with medical staff to clarify documentation. Maintains performance in accordance with corporate compliance requirements as pertains to the coding and abstracting of medical records, as well as DRG assignment. Position Responsibilities: • Accurately reviews each record and knowledgeably utilizes ICD-9 and CPT-4 and encoder to accurately code all significant diagnoses and procedures according to AHA, AHIMA, UHDDS hospital specific guidelines and rules/conventions. • Records coded include Inpatients, Same Day Surgery, Invasive Outpatients, and Emergency Department. • Sequences principal diagnosis and principal procedures according to documentation found in the medical records and UHDDS...