Summary

Reviews medical record documentation and diagnostic results to assign appropriate ICD-10-CM/PCS and HCPCS codes for billing, internal and external reporting, and compliance with the Official Coding Guidelines for Coding and Reporting, payer regulations, and hospital policy. Responsible for coding and abstracting outpatient medical records, to include but not limited to, simple ambulatory surgery, endoscopic, emergency center, clinic, and diagnostic medical records. Queries physicians to resolve incomplete or conflicting information to ensure compliant coding and billing practices. Abides by the Standards of Ethical Coding as set forth by AHIMA.

Education Requirements

• High School Diploma or GED and 4 years directly related experience (Required) OR 2 year / Associate Degree in Health Information Management or related medical degree
  
  

Experience Requirements

• 1 year ICD-9, ICD-10, and HCPCS coding preferably in a hospital setting. (Required)
• 1 year Broad knowledge of medical terminology, pathophysiology, and pharmacology. (Required)
• 1 year Experience calculating APC and other payer reimbursement methodologies. (Preferred)
  
  

CERTIFICATIONS AND LICENSURES

• Preferred Certifications/Licensures: Certified Coding Specialist (CCS), Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA)
  
  

General Skills

• Organizational Skills
• Communication Skills
• Interpersonal Skills
• Customer Relations
• Mathematical
• Analytical
• Grammar/Spelling
• Read/Comprehend Written Instructions
• Follow Verbal Instructions
• Basic Computer Skills
• Microsoft Office Suite
• General Clerical Skills
  
  

Physical Requirements

• Have near normal vision - Clarity of vision (both near and far), ability to distinguish colors
• Ability to perform - repetitive tasks/motion
  
  

PHYSICAL DEMANDS

• Standing - Occasionally within shift (1-33%)
• Walking - Occasionally within shift (1-33%)
• Sitting - Continuously within shift (67-100%)
• Bending/Stooping - Occasionally within shift (1-33%)
• Twist at waist - Occasionally within shift (1-33%)
• Pushing/Pulling - Occasionally within shift (1-33%)
• Reaching above shoulder - Occasionally within shift (1-33%)