Abstractor

CoxHealth•Springfield, MO

6d•Onsite

About The Position

The Abstractor is responsible for reviewing the Inpatient/Outpatient medical record and abstracts data that is required into the Cerner Abstracting system before/after Coding has been completed. The Abstractor performs both Pre-Abstracting and Post-Abstracting based on their assigned role. The Abstractor will ensure that the Discharge Disposition is accurate, Inpatient Admission order is present and gather additional information that is needed prior to finalizing the abstract working with Coding and Audit/Compliance & Compliance if needed. The Abstractor may be assigned to additional tasks as needed.

Requirements

High School Diploma
Prior HIM experience working with Analysis, Coding Support or Document Imaging
Visual acuity necessary to read and decipher handwriting and electronic documentation.
Demonstrates competency with use of computers and various computer programs.
Excellent written and verbal communication skills, including the ability to present ideas and concepts effectively.
Must have the analytical ability to interpret data contained in medical records and assign appropriate codes for accurate reimbursement.
Understanding ICD-10-PCS (Inpatient Coding) and ICD-10-CM (Inpatient Coding) classification systems.

Nice To Haves

Coding course completion
AHIMA Coding Credential: CCS or AAPC Coding Credential: COC or CPC.

Responsibilities

Reviewing the Inpatient/Outpatient medical record and abstracts data that is required into the Cerner Abstracting system before/after Coding has been completed.
Performing both Pre-Abstracting and Post-Abstracting based on their assigned role.
Ensuring that the Discharge Disposition is accurate.
Ensuring the Inpatient Admission order is present.
Gathering additional information that is needed prior to finalizing the abstract.
Working with Coding and Audit/Compliance & Compliance if needed.
May be assigned to additional tasks as needed.