Role Description
Under general supervision, performs all functions associated with the appropriate assignment of ICD, HCPCS/CPT, and E&M codes for outpatient and/or inpatient encounters.
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Assigns the appropriate ICD, HCPCS/CPT, and E&M codes, as applicable, to diagnoses and procedures generated for outpatient or inpatient encounters, maintaining a 95% accuracy rate in conjunction with meeting productivity standards.
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Abstracts demographic and clinical data for performance improvement, research, reporting, and reimbursement purposes in relation to assigned areas of work by use of a computerized encoding system.
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Validates charges on accounts/charge sessions.
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Effectively interacts with providers and ancillary staff for clarification of coding issues.
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Maintains statistics, records, and logs in relation to assigned work area.
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Assists with the training and in-services of students and new employees in specific areas of assignment as directed by management.
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Keeps educated about current coding updates per managementβs direction β including ICD-10-CM, HCPCS/CPT, and E&M code guidelines and methodologies, as well as payor requirement changes as applicable.
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Keeps management informed of coding problems/issues.
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Represents coding on teams, committees, and task forces as assigned by management.
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Actively participates in other duties as assigned, but only after appropriate training.
Qualifications
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Must have completed an American Health Information Management Association (AHIMA) approved program for Certified Coding Specialist, -OR- Health Information Technician (2 year degree), -OR- Health Information Administrator (4 year degree).
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Certifications obtained: Certified Professional Coder (CPC) by an AAPC recognized program, -OR- Certified Coding Specialist-Professional (CCS-P), Registered Health Information Technician (RHIT), -OR- Registered Health Information Administrator (RHIA) by an AHIMA recognized program.
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One year of coding experience is preferred -OR- an approved equivalent combination of education and experience.
Requirements
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Ability to communicate effectively both orally and in writing.
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Ability to work independently with minimal direction.