Oroville Hospital-posted 9 months ago
$26 - $35/Yr
Full-time • Entry Level
Oroville, CA
Hospitals

The DRG Coder/Abstractor will review, analyze and accurately assign ICD-9 codes as well as appropriate CPT-4 codes for all inpatient, inpatient Medicare, ECU and outpatient health records to generate a clinical patient database as well as assuring optimum reimbursement. The DRG Coder/Abstractor will review the medical record to assure that it has been appropriately and adequately analyzed and flagged for physician assistance in completion of the medical record. This position is for Internal applicants.

  • Review and analyze medical records to assign ICD-9 and CPT-4 codes.
  • Ensure accurate coding for inpatient, inpatient Medicare, ECU, and outpatient health records.
  • Code Extended Care patient admissions before the fifth ECU day and finalize upon receipt of the ECU chart.
  • Forward admission diagnosis codes to the ECU unit clerk for transfer to the ECU face-sheet.
  • Notify the business office when coding has been finalized for billing.
  • Encode ICD-9-CM codes into the abstract maintenance and patient maintenance sections of the Medical Records Menu.
  • Verify and update all required items of information consistent with UHDDS guidelines and hospital policies.
  • Establish expected DRG for billing comparisons and convey to the business office.
  • Review inpatient and outpatient medical records at discharge to ensure required reports and signatures are included.
  • Participate in abstract reconciliation procedures at least quarterly.
  • Perform weekly chart reconciliation and notify the Department Assistant of charts not received.
  • Utilize CMS Physician query guidelines as necessary.
  • Maintain current coding competence regarding ICD-9-CM and CPT-4 coding guidelines.
  • Perform other duties as assigned.
  • High School Diploma or Equivalent.
  • At least two years experience in the medical records field.
  • Knowledge of ICD-9-CM and CPT classification systems, DRG methodology, and UHDDS guidelines.
  • Ability to read handwritten and transcribed documents in health records.
  • Comprehensive knowledge of medical diagnostic and procedural terminology.
  • Understanding of disease process, anatomy, and physiology for accurate coding.
  • Must be certified in coding (or equivalent RHIT or RHIA).
  • Proficient at coding outpatient, inpatient, inpatient Medicare, and ECU health record encounters.
© 2024 Teal Labs, Inc
Privacy PolicyTerms of Service