|
Communication * Works in collaboration with physicians, in tracking un-coded charts and identifying opportunities to properly complete coding assignments. * Works closely with Clinical Documentation Improvement (CDI) specialists, providers and clinical staff to develop and maintain a comprehensive audit and management system to ensure proper charge capture, sufficient documentation and proper code assignment across all service lines. * Mentors and trains other coders in the department. * Ambulatory/Professional Team Only: Communicates coding/documentation education and training to providers, staff and leadership. |
Data integrity * Review medical record to abstract proper code assignment. * Assign ICD-10 CM/PCS/CPT and HCPCS codes to inpatient, outpatient, emergency room, outpatient clinical and professional services, as required. * Apply accurate procedure coding, diagnosis coding, medical terminology, anatomy/physiology, and industry regulations. * Assist in maintenance of medical record integrity/documentation improvement opportunities. * Ambulatory/Professional Team Only: Develops educational material based on coding changes, code updates and audit findings, as required. |
Compliance/Safety * 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. |
Education |
Certification & Licensures |
Experience |
Software Powered by iCIMS
www.icims.com