Position Status Label : Non- Exempt
Labor Category : Admin
Remote / Onsite : Remote
Additional Informations :
This job is for new sourcing
The purpose of this position is to review the medical record to assure specificity of diagnoses, procedures and appropriate / optimal reimbursement for hospital and / or professional charges; Retrieves information from medical records, ensuring adherence with established methods and procedures.
Key Responsibilities / Accountabilities :
- Review medical record documentation and accurately code the primary / secondary diagnoses and procedures using ICD CM and CPT- coding conventions.
- Sequence the diagnoses and procedures using coding guidelines.
- Ensure DRG / APC assignment is accurate.
- Abstract and compile data from medical records for appropriate optimal reimbursement for hospital and / or professional charges.
- Serves as backup to other administrative functions as assigned.
- Meets job standards for achieving contract deliverables.
- Assists with other job- and education-related duties as assigned.
- Other duties as assigned
- Read, understand, and adhere to all corporate policies including policies related to HIPAA and its Privacy and Security Rules.
Critical Qualifications :
High school diploma or GED.Certification as a Coding Specialist (CCS preferred - others may be considered with substantial hospital inpatient coding experience).Additional Qualifications :
Knowledge of ICD- and CPT systems.Knowledge of Anatomy and Physiology.Ability to interpret medical terminology.Knowledge of DRG / APC reimbursement.Coding software.Effective written and verbal communication skills.Attention to detail.Efficient data entry skills.Proficiency in the Microsoft Office Suite (Word, Excel, Outlook).Ability to meet deadlines with a sense of urgency.