Job Description

Description

• Codes outpatient charts and/or professional charts and abstracts all required data from records according to established procedures; including medical necessity for Medicare charts.
• Uses ICD-10 CM/PCS/CPT-4/chargemaster to code all diagnoses, operative procedures and physician procedures performed for outpatient procedures.
• Verifies/changes levels of care provided according to level of care guidelines.
• Captures all missing records and documentation, i.e. IV start/stop times, etc.
• Interacts with physicians and physician's offices regarding diagnoses or coding questions.
• Performs other work as needed to help within the department.
• Keeps current with coding practices and skills through inservices, seminars, workshops and current literature to increase coding knowledge.
• Reviews the entire medical record for identification of all documented conditions, diagnoses and procedures.
• Demonstrates the ability to read physicians handwriting and interpret diagnostic and therapeutic information.
• Attends and participates in departmental meetings.

Requirements

Must be a high school graduate or equivalent. College education with an RHIT, RHIA, CCA, CCS, CPC, COC, CMC or CIC credentialed or equivalent experience required. Must have comprehensive knowledge of ICD-10, CPT and HCPCS codes. Two (2) years coding preferred. Experience with computerized record abstraction systems preferred. EATON RAPIDS MEDICAL CENTER

Job Tags

Full time,

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