General Summary
Using established coding principles and procedures, the coder reviews, analyzes and codes diagnostic and/or procedural information from the patient’s medical record for reimbursement/billing purposes.
Accurately abstracts information from the medical record for compilation of a patient database, which supports medical research projects, patient care evaluation and administrative decision making related to patient care.
The coding function is considered a primary source for data and information used in health care today, promotes provider/patient continuity, accurate database information and the ability to optimize reimbursement.
It also ensures compliance with established coding guidelines, third party reimbursement policies, regulations and accreditation guidelines.
Education/Experience Required
High School Diploma or G.E.D. equivalent required.
Additional specialty coding certification required or five (5) years coding experience.
One to two (1–2) years college or additional coursework in Accounting, Business, Healthcare Administration or Medical Record Sciences preferred.
Must have a thorough knowledge of anatomy, physiology, pathophysiology, disease processes, medical terminology, pharmacology, and coding systems.
Minimum of two (2) years coding experience required.
Specialty coding experience preferred.
Certifications/Licenses Required
Certification as a Registered Health Information Technician (RHIT), CPC, or CCS certification required.
Additional Information
Organization: Corporate Services
Department: Procedural Coding
Shift: Day Job
Union Code: Not Applicable
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