Description

BASIC FUNCTIONS:

Reviews patient records and assigns accurate ICD-10 CM & PCS; CPT & HCPCS codes for each diagnosis and procedure on the accounts assigned to coder using official coding principles and guidelines. Applies knowledge of medical terminology, disease processes, and pharmacology. Demonstrates productivity (quantity) and quality coding skills. Performs charge verification and adding charges as needed.

SHIFT DAYS/HOURS:

Remote Position

PRN: No regular schedule, work as needed.

Hours and Days are Subject to change based on business needs.

ESSENTIAL FUNCTIONS:

Review and abstract patient medical records. Report diagnoses, treatments, as well as surgical and non-surgical procedures for CAH facility medical services.

Perform coding duties of discharged patient medical records using AHA Coding Clinic for ICD-10-CM and ICD-10-PCS, AHA Coding Clinic for HCPCS, CMS ICD-10-CM Official Guidelines for Coding and Reporting, AMA CPT Assistant, and ACEP ED Facility Level Coding Guidelines.

Correctly assigns ICD-10-CM/PCS and CPT/HCPCS codes creating APG group assignments.

Abide by the standards of American Health Information Management Association (AHIMA) Standards of Ethical Coding. Concerns involving compliance issues are forwarded to the Manager of HIM for action.

Abide by the standards of American Health Information Management Association (AHIMA) Code of Ethics. Concerns involving compliance issues are forwarded to the Manager of HIM for action.

Apply accurate charges. Maintains productivity and quality of work.

Queries physicians when documentation in the record is inadequate, ambiguous, or unclear for coding purposes.

Report unusual findings to the supervisor when coding.

Ensure code assignment is supported by provider documentation.

Maintain professional competency and knowledge of third- party payer and QIO regulations.

Compliant with HIPAA, demonstrates discretion and integrity.

Ability to work with minimal supervision.

Other duties as assigned.

Qualifications

JOB QUALIFICATIONS:

• Experience:
  • Minimum Required Experience: 2 years' experience in medical coding
  • Preferred Experience: 3+ years

• Education:
  • Minimum Required Education: A minimum of high school diploma plus successful obtainment and maintenance of the American Health Information Management Association (AHIMA) credential, Certified Coding Specialist (CCS) and/or CSS-P, Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA). Knowledge of and demonstrated appropriate use of ICD 10, ICD 10 PCS, and CPT coding. AAPC certifications may be considered.

• Licenses:
  • Minimum Required Licenses: N/A
  • Preferred Licenses:

• Certifications:
  • Minimum Required: Certified Coding Specialist (CCS), CCS-P, Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA). Will consider Certified Professional Coder (CPC) certification through AAPC.
  • Preferred Certifications: RHIT, RHIA, CCS, CCS-P