Children's Health System of Texas
Dallas, TX, USA
Documentation Specialist Coder This position is responsible for accurately assigning diagnostic and procedure codes to records of inpatient, observation, ambulatory surgery, emergency department, and other outpatient encounters and abstracting patient information as required. The Documentation Specialist acts as subject matter expert and resource on coding-related activities. Responsibilities: Maintain and establish department policies and procedures, objectives, quality assurance program, safety, environment and infection control standards. Possess in-depth knowledge of the conventions, rules, and guidelines of multiple classification systems, including ICD-10 diagnosis and procedures and CPT. Possess in-depth knowledge of disease process in multiple medical/surgical specialties. Review patients entire current medical records and utilize encoder software and/or code books to assign appropriate diagnosis codes using the International Classification of Diseases, 10th Edition...