Medical Coding Specialist
The purpose of this position is to review the medical record to assure specificity of diagnoses, procedures and appropriate/optimal reimbursement for hospital and/or professional charges; Retrieves information from medical records, ensuring adherence with established methods and procedures.
Key Responsibilities/Accountabilities:
- Review medical record documentation and accurately code the primary/secondary diagnoses and procedures using ICD-9-CM and CPT-4 coding conventions.
- Sequence the diagnoses and procedures using coding guidelines.
- Ensure DRG/APC assignment is accurate.
- Abstract and compile data from medical records for appropriate optimal reimbursement for hospital and/or professional charges.
- Serves as backup to other administrative functions as assigned.
- Meets job standards for achieving contract deliverables.
- Assists with other job- and education-related duties as assigned.
- Other duties as assigned
- Read, understand, and adhere to all corporate policies including policies related to HIPAA and its Privacy and Security Rules.
Critical Qualifications:
High school diploma or GED. Certification as a Coding Specialist (CCS preferred - others may be considered with substantial hospital inpatient coding experience).
Additional Qualifications:
- Knowledge of ICD-9 and CPT systems.
- Knowledge of Anatomy and Physiology.
- Ability to interpret medical terminology.
- Knowledge of DRG/APC reimbursement.
- Coding software.
- Effective written and verbal communication skills.
- Attention to detail.
- Efficient data entry skills.
- Proficiency in the Microsoft Office Suite (Word, Excel, Outlook).
- Ability to meet deadlines with a sense of urgency.