Mary Greeley Medical Center
Ames, IA, USA
Position Summary
Under limited supervision, reviews all documentation in the patient health record to accurately select the appropriate ICD-10-CM / PCS codes and CPT codes. The coder ensures all actions taken in carrying out responsibilities reflect and support patient centered care.
Position Responsibilities
Unit Specific Position Responsibilities
Extensive review of all inpatient and outpatient health records in relation to assignment of appropriate codes that represent classification of diseases and procedures for both DRG and non-DRG based payers and data collection.
Collaborates and communicates with the clinical documentation specialists to ensure appropriateness of documentation. Reviews clinical documentation specialist information using Coding and CDI applications.
Identifies deficiencies in physician documentation and communicates using the physician query process to request clarifications as needed. Reviews records for accuracy and...