This role is responsible for abstracting, coding, sequencing, and interpreting clinical information from various medical records including inpatient, outpatient, emergency department, pro fee, and clinical records. The position requires the assignment of correct principal diagnoses, secondary diagnoses, and principal and secondary procedure codes with accurate sequencing. The coder will utilize technical coding principles and DRG/APC reimbursement expertise to assign appropriate codes, abstracting and coding pertinent medical data into multiple software programs and/or encoders. Maintaining compliance with external regulatory and accreditation requirements, as well as State and Federal regulations, is crucial. The role involves extracting pertinent data from patient health records to determine appropriate coding for reports and billing documents, identifying codes for reporting medical services and physician-performed procedures, and entering codes into various computer systems. Productivity tracking and maintenance of a 95% quality rating are also key aspects of the role, along with performing duties in compliance with company policies, including HIPAA and compliance regulations.
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Job Type
Full-time
Career Level
Mid Level
Education Level
Associate degree