Abstracts data from medical records into Epic and 3M 360 to provide a detailed case summary of medical, demographic, and statistical information. Identifies and codes diagnoses and procedures for medical records according to ICD-10-CM and CPT-4 guidelines, including department modifications. Identifies primary diagnosis and procedure as well as pertinent secondary diagnoses and procedures. Follows procedures mandated by government and other payers for completion of coded data including APC assignments and HCC codes.
Facility Specific: Responsible for coding ED, Diagnostic, and Ancillary records.
Professional Fee: Responsible for Diagnostic, HCC, Retrospective Coding, Documentation Quality Assurance, and Ancillary Records.
Degree/Diploma Obtained Program of Study Required/ Preferred and/or High School Diploma or Equivalent Required
Minimum Years Required Area of Experience Required/ Preferred and/or 1 Year Outpatient Coding Preferred
1 Year of Outpatient (Acute Care Hospital or Physician) Coding or completion of coding course
Licenses Required/ Preferred and/or Not Required
Certificates/Registrations Required/ Preferred and/or CPC (Certified Professional Coder) Required or COC (Certified Outpatient Coding) Required or CPC-P (Certified Professional Coder-Payer) Required or CCS (Certified Coding Specialist) Required or
CRC (Certified Risk Adjustment Coder) required -or- CIC (Certified Inpatient Coder) required -or- RHIT (Registered Health Information Technician) required -or- RHIA (Registered Health Information Administrator) required. Minimum of one coding certification (listed above). Other specialty certifications from AAPC or AHIMA will be considered.