Description
Coder will be responsible for assigning diagnostic / procedural codes to patient charts of high complexity using ICD-10-CM, CPT and HCPCS or any other designated coding classification system in accordance with coding rules and regulations. Coder will respond to audits, conduct coding / provides consultation on specific projects.
Responsibilities :
- Assign ICD10 CM Diagnosis Codes and ICD 10 PCS Procedure Codes for assigned accounts.
- IP / OP edits
- Select and sequence principal and secondary diagnosis and procedure codes.
- Assign appropriate DRG.
- Review the medical record and all applicable documentation to determine the appropriate codes to assign for the services and diagnoses.
- Demonstrates ability to achieve accuracy and consistency in abstracting elements defined by per facility.
- Maintain productivity standards, tracking and deadlines.
- Maintain and complete accurate productivity and tracking logs.
- May act as a mentor to training coders and / or new hires by providing education and training.
- Maintains current knowledge of the information contained in the Coding Clinic and the Official Inpatient Guidelines for Coding and Reporting.
- Ability to meet productivity standards while maintaining a 95% accuracy rate.
Requirements :
Licenses / Certifications; CCS, RHIT, RHIA preferred.Must have a minimum of 3-5 years Acute Care HospitalExperience with IP / OP editsExperience with complex case mixesExtensive knowledge of ICD-10 CM / PCS coding principles and guidelines, DRG Assignment, MCC / CC capture, federal, state and payor-specific regulations and policies pertaining to documentation, coding and billingEHR systems, encoder and other support software - 3M 360, & CernerUnderstands medical terminology, anatomy, physiology, surgical technology, pharmacology and disease processes.A high-level coding accuracy, critical thinking skills and attention to detailStrong interpersonal communication skills, both verbal and writtenStrong knowledge of Microsoft Word, Excel, PowerPoint and OutlookMaintain productivity standards, tracking and deadlines.Maintain and complete accurate productivity and tracking logs.