Coder/Abstractor, Full-Time Days, 40 Hours, ACU

Day Kimball Healthcare•Putnam, CT

1d•Onsite

About The Position

Day Kimball Health is hiring a Coder/Abstractor for our Ambulatory Care Unit (ACU). This role involves performing all phases of abstracting, diagnosis coding, and transmission of diagnosis codes to the Business Office, charge capture, and posting through record analysis. The position is full-time, day shift, with 40 hours per week. The Coder/Abstractor will work under the general supervision of the Coding, Reimbursement & Quality Assurance Supervisor.

Requirements

High school diploma and two (2) years of college or equivalent with additional training in medical terminology, anatomy and physiology required.
Proficiency with multiple electronic medical record systems or application software.
In-depth knowledge of medical terminology, anatomy, physiology, and disease process.
Knowledge of coding, billing, and the revenue cycle.
Demonstrated knowledge of medical terminology and organization of the medical record coding systems.
Comprehensive understanding of ICD-10-CM classification systems, and Medicare/Medicaid Evaluation & Management (E&M), Outpatient Prospective Payment System (OPPS) and Ambulatory Payment Classification (APC's). IPPS and DRG with corresponding CDI enhancements.
Experience with HCPCS coding and pharmaceutical drug types/pricing.
American Health Information Management Association (AHIMA) - RHIT, CCS, CCS-P or American Academy of Professional Coders (AAPC) - CPC, CPC-H (required at time of hire or within 6 months)

Nice To Haves

Associates degree preferred
Additional specialized training with CAC- 3M Grouping Software System preferred

Responsibilities

Reviews medical records for completeness in order to abstract and code clinical data, such as diseases, operations, procedures, and therapies, using standard classification systems and DKH Facility Coding Guidelines.
Documents all coding discrepancies.
Reviews for and enters charges for outpatient service locations as applicable related to documentation to ensure that the documentation supports the billed services.
Works with Revenue Integrity, CDI, Denials Management, and Case Management departments to clarify account/coding issues to resolve/reduce billing problems/denials.
May retrieve records from ambulatory care or other patient care areas as needed to code.
Chart assembly may be required to attach loose reports to the record to code correctly.