* Works in collaboration with physicians, in tracking un-coded charts and identify opportunities to properly complete coding assignments.

* Works closely with provider and clinical staff to ensure proper charge capture, sufficient documentation and proper code assignment.

* Review medical record to abstract proper code assignment.

* Assign ICD-10 CM/PCS codes to outpatient/ancillary encounters which may include outpatient ancillary and professional services.

* Apply accurate procedure coding, diagnosis coding, medical terminology and anatomy/physiology.

* Assist in maintenance of medical record integrity/documentation improvement opportunities.

* Responsible for reporting any safety-related incident in a timely fashion through the Midas/RDE tool; attends all safety-related training programs; performs work in a safe manner; monitors work environment for possible safety issues and ensures others are also performing work in a safe manner.

* Stays current and complies with state and federal regulations/statutes and company policies that impact the employee's area of responsibility.

* If required for the position, ensures all certifications and/or licenses are up-to-date and valid prior to expiration dates.

* Completes all company mandatory modules and required job-specific training in the specified time frame.

* Maintains confidentiality of all department, patient, and coding matters.

* Stays current with medical terminology and human anatomy.

* Meets industry standard measures of productivity and accuracy.