Job Details: - High school diploma or equivalent required - Experience preferred
Summary : Responsible for organizing, collecting and classifying diagnostic and procedural inforamtion for Hospital reimbursement purposes. Codes diagnostic and operative information from all medical records,outpatient slips and registration slips utilizing ICD-9-CM and CPT -4/HCPCS classification system to ensure hospital reimbursement. Essential Duties/responsibilities: Abstracts medical data from discharged inpatient records for entry into billing system. Codes all outpatient and urgent care documentation. Assembles medical records documentation using standardized chart format to ensure record organization and uniformity. Analyzes medical information for deficiencies regarding required documentation. Works cooperatively with medical staff and health care professionals to obtain required documentation to complete medical records that meet all regulatory standards. Other responsibilities: Maintains Physician record database; communicates with physicians regarding deficiencies. Maintains daily inpatient census statistics. Assists in retrieving charts for clinical and special projects. Other duties may be assigned as the necessary to the operation of the department Education/Experience: Associates degree in health information technology preferred. Two - four years of coding experience preferred. Other qualifications: Must be able to lift, transport medical records and supplies weighing up to 2 lbs with and without assistance; using safe body mechanics. Must be able to analyze, solve problems independently; strong critical thinking and judgment ability. Ability to multi-task, very detail oriented with a high level of quantity without sacrificing quality. Demonstrates a high aptitude to analyze and produce high quality work. Certifications/Registrations : Certified Coding Specialist (CCS) preferred; but is required to have a CPC or CCS. Registered Health Information Technician (RHIT) preferred.