Description
:
Reporting to the Manager, Health Information Coding, reads the medical record assigning the appropriate ICD-9-CM diagnostic and appropriate ICD-9-CM or CPT procedure code. The job category is created for entry level inpatient or outpatient coders in-training. Queries the physician when documentation in the record is inadequate, ambiguous or unclear for coding purposes.
Duties Include:
- Reads the medical record identifying all treated diagnoses and procedures reporting the correct code(s) adhering to rules set forth in “Official Coding Guidelines.”
- Enters coded/abstracted information into the 3M MS DRG or APR DRG grouper assigning the accurate MS DRG or APR DRG through use of the clinical analyzing functions reviewed in compliance with medical record documentation.
- Follows-up on all bill holds to ensure timely billing and reimbursement
- Refers coding, billing and system questions to the coding manager or coding validator.
Qualifications
BASIC KNOWLEDGE:
- High School diploma or equivalent.
- Successful completion of formal education in coding.
- Coding certification required preferably from the American Health Information Management Association.
- Familiarity and understanding of the content of the medical record.
- Trained in anatomy, physiology and disease processes.
- Ability to recognize and understand clinical documentation pertinent for coding.
- Good writing skills to prepare physician queries.
- Computer skills to research internet websites to clarify diseases or procedures.
- Ability to access and recognize appropriate electronic documents for coding.
EXPERIENCE:
- Formal education in coding.
- Coding certification required from the American Health Information Management Association (AHIMA) or the American Academy of Professional Coders (AAPC).
- http://jobs.lifespan.org/careers/hospital-support-jobs
- Apply: http://jobs.lifespan.org/us/providence/hospital-support/jobid3706434-clinical-coding-specialist-i?apstr=src%3DJB-10280
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