Alameda Health System
Oakland, CA
Summary
Performs the process of coding and abstracting all patient medical records in accordance with established ethical and clinical coding rules and regulations. Responsible for accuracy of data in the abstract to ensure compliance with regulatory agencies and AHS procedures. Queries physicians for clarifying information when assigning diagnoses. Performs related duties as required.
DUTIES & ESSENTIAL JOB FUNCTIONS
NOTE: Following are the duties performed by employees in this classification. However, employees may perform other related duties at an equivalent level. Not all duties listed are necessarily performed by each individual in the classification.
Codes all diagnostic and operative information from the medical record using ICD-9-CM ,/ICD-10-CM, CPT, HCPCS level 2 coding classification systems for ED, Trauma, Outpatient, Newborn, Normal Deliveries, non-acute care, and acute care hospital encounters.
Completion of Medical Records; interacts with physicians to clarify...