Role Description
Under the general supervision of the Coding Manager, review medical record documentation and accurately code the primary/secondary diagnoses and procedures using ICD-10-CM, ICD-10-PCS, and/or CPT-4 coding conventions.
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Sequence the diagnoses and procedures using coding guidelines.
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Ensure DRG/APC assignment is accurate.
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Abstract and compile data from medical records for appropriate optimal reimbursement for hospital and/or professional charges.
Qualifications
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Must be at least 18 years of age.
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Proof of highest level of education completed but not less than high school education or equivalent.
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An AAPC or AHIMA certification to include CAH-BS, CCS, CPC, or CIC.
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At least 5 years of active coding experience in Facility Inpatient Coding, and Compliant Query practices.
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Knowledge of coding compliance policies, official coding guidelines, regulatory requirements and internal policies and procedures affecting the coding process.
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Demonstrated knowledge coding diagnoses, operations, and non-operative procedures utilizing the ICD10-CM, PCS and CPT coding systems.
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Demonstrated knowledge of physiology, anatomy, medical terminology, statistics, and computer skills.
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Ability to establish and maintain effective working relationships with all levels of MGRMC staff and support personnel required.
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Ability to effectively communicate in oral and written form.
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An understanding of computer systems, process design and data management.
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Must have a well-groomed, professional appearance.
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Must have the mental and physical ability to perform, with or without reasonable accommodation, the essential functions of the job.
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Ability to lift, carry, pull, & push 50 pounds.
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Language proficiency in English, with excellent written and verbal fluency.
Preferred Qualifications
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Previous Meditech experience or other related electronic records systems.