Ability to accurately assign ICD-10-CM, CPT, ICD-10-PCS codes to applicable patient encounters
according to established guidelines. Review patients' medical records on the nursing units, and work closely with the CDI staff to promote specificity in physician documentation. Serves as educational/informational resource to the Medical Staff, as needed to ensure compliance with state and federal regulations. Assist with auditing records retrospectively to validate accuracy of concurrent process and identify opportunities for improvement. Assigns inpatient and outpatient hospital coding as well as all other assignments given by supervisors as needed.
Qualifications
Education: Associate degree in Health Information Management OR graduate of an approved coding course OR equivalent coding experience.
Experience: Five (5) years medical record coding experience.
Licenses, Certifications and/or Registrations: Credentialed in Health Information Management as an RHIT, RHIA, CCS, CCA, CPC, COC, CIC
Equipment/Tools/Work Aids: Specialized computer software; 3M Codefinder; ICD-10-CM, ICD-10-PCS, and CPT Code Books, limited telephone, fax or copier use
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