OhioHealth
Columbus, OH
Job Description Summary
This position performs facility coding and abstracting functions of Inpatient.
Responsibilities and Duties
Assign appropriate admit, principal, and secondary diagnoses and/or procedure codes by reading documentation present in the medical record and applying knowledge of correct coding guidelines as appropriate for hospital service and/or patient type while maintaining 95% quality and meeting minimum Coder productivity requirements.
Assign Present on Admission POA indicators to all inpatient account diagnoses as required by official coding guidelines.
Accurately assign DRG/MSDRG/APR-DRG at the minimum standards of 95% .
Review diagnosis and CC/MCC for maximum severity of illness/room of service. Clinical understanding of laboratory and radiology values.
Knowledge of quality outcomes indicators and work with CDS to improve physician documentation and case mix index. Assign Principal Diagnosis accurately at least 95% or better.
Monitor and appropriately...