Reviews electronic medical records for the purpose of identifying data which will be used to assess patient care and determine reimbursement. Abstracts, verifies and enters data into automated data base, assigns appropriate ICD-9-CM/ICD 10-PCS and CPT codes, verifies medical necessity, groups codes into DRG's /APC's, complies with respective payer guidelines for coding, supporting, documentation and grouping of data. Performs charge capture and associated data entry, serves as liaison with other departments to resolve revenue cycle issues (Ex: Customer Service /Registration, Billing etc.) Assist physicians to obtain clarifying documentation or improvement of CDI for coding queries. Procedure will consists of, coding of all outpatient records, abstract coding and entering charges for all Health Information records and maintaining the daily work queues/lists for final billing to insure and maintain reimbursement to the hospital. Also associated with if necessary, the assembly, analyze, scanning of loose sheets and other assigned coding duties. Working knowledge of the Health Information Department and coding guidelines. Must be AHIMA certified. Actively participates and codes all patient records and prepares and enters all charges for the Emergency Room and any other necessary departmental charges within the Health Information charging procedures
Associates or Bachelor’s degree in Health Information Technology/Administration or equivalent, (RHIT/RHIA or RHIT/RHIA eligible or CCS-H).
Working knowledge of computer software (Paragon/McKesson, HIS, 3M Encoder/Grouper, Microsoft Word, Excel, Access, Microsoft Office and/or other applicable office system software.
2-4 years previous medical record coding, guidelines and billing experience.
Strong verbal, written communication skills
Good organizational skills.
Ability to multitask and work independently.