Job Description - IP Coder/Abstractor (7463-2997)
IP Coder/Abstractor will code all inpatient medical records and assist with outpatient medical record coding on an as‑needed basis at Harris Regional and Swain Community Hospitals. Responsibilities include accurate coding and abstracting of inpatient records in accordance with established guidelines; reviewing and abstracting the patient record to accurately assign diagnostic and procedural codes; following up with the provider or Clinical Documentation Improvement (CDI) team as needed; performing physician queries as necessary to insure accurate coding; performing charge‑capture duties for injections and blood administration; and performing chart/coding data audits.
Education
Current RHIA, RHIT, and/or CCS required. Other coding certifications from accredited schools will be considered on a case‑by‑case basis.
Experience
Minimum of 2 years ICD‑9‑CM and CPT‑4 coding experience in an acute care facility is desired, but new graduates will be considered based on coding test score.
Skills
Must be able to effectively utilize Microsoft Office (Outlook) and department‑specific software applications to perform work. Communicate effectively and cooperatively in the workplace. Actively contribute to the achievement of Quality Improvement activities.
Physical Requirements
Must be able to concentrate and sit for long periods of time. Daily and weekly deadlines must be met in a fast‑paced office environment. The IP coder may be asked to lift up to 20 lbs. and reach above shoulder height. Eye and hand coordination, manual dexterity for computer and writing skills, and visual acuity corrected to normal are required.
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