Overview
Reviews, analyzes, and codes medical record documentation to include, but not limited to, medical, diagnostic and procedural information for the correct ICD-9 and/or ICD-10 and/or CPT-4 HCPCS codes to the greatest specificity. Abstracts demographic and coding information into the information system accurately and completely. Reviews documentation for medical necessity. Audits orders and claims before submission for entirety and accuracy and to minimize claim denials. Assesses records and prepares reports. Develops effective working relationships with physicians and other stakeholders.
Responsibilities
Reviews, analyzes, and codes medical record documentation to include, but not limited to, medical, diagnostic and procedural information for the correct ICD-9 and/or ICD-10 and/or CPT-4 HCPCS codes to the greatest specificity. Abstracts demographic and coding information into the information system accurately and completely. Reviews documentation for medical necessity. Audits orders and claims before submission for entirety and accuracy and to minimize claim denials. Assesses records and prepares reports. Develops effective working relationships with physicians and other stakeholders.
Qualifications
Education
H.S. Diploma or General Education Degree (GED) Required
Coding Certificate program, AAPC or AHIMA accredited Preferred
Work Experience
No experience required
Coding experience Preferred
Licenses and Certifications
RHIA - Registered Health Information Administrator Required or
RHIT - Registered Health Information Technician Required or
CPC, CPC-A, CPC-H - Certified Professional Coder Required or
CCA - Certified Coding Associate Required or
CCS-Certified Coding Specialist CCS-P Required or
Equivalent coding certification Required
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