Job Description

Coding of diagnoses and procedures on all inpatient and/or outpatient accounts. Facilitates improvement in the overall quality of clinical documentation to ensure compliance and optimum reimbursement. Abstracts clinical information from medical records. Assigns appropriate ICD-10 codes, confirms appropriate optimal APC assignment.



Qualifications

Education:
 
Required - High School graduate or equivalent
Preferred - Associates degree in a health services discipline
 
Experience:
 
To perform this job successfully, an individual must be able to perform essential duty satisfactorily. The requirements listed must be representative of the knowledge, skills, minimum education training, licensure experience, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

 

Preferred - 1 year Hospital experience OP Coding
Required - Extensive working knowledge of the coding classification systems medial terminology, anatomy and physiology, disease processes
 
Skills, Knowledge, and Abilities:
 
Must possess expert knowledge of medical terminology anatomy & physiology, and ICD-10 coding principles
Must possess ability to assess a record and make independent responsible decisions upholding policy & procedure
Requires extensive reading data entry & prolonged sitting, bending to collect, review and replace charts
Proficient in business office skills
Must possess ability to learn & perform all essential job functions accurately with minimal direct supervision within probationary period
 
Licenses/Certificates:
 
Required - RHIT, RHIA, or CCS certification
 

Application Instructions

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