Coder

J Arthur Dosher Memorial HospitalSouthport, NC
1d

About The Position

Performs the coding of outpatient and/or inpatient and ancillary medical records as well as various Health Information Management duties. Functions of the Position (not an exhaustive list): Review medical records classified as inpatient, observation, treatment room, Emergency Department and ancillary Assign appropriate diagnosis/procedure codes using the ICD-10 and CPT-4 classification systems. Assign codes using coding books or by using the 3M/code finder computer system Follow established coding guidelines when assigning diagnosis/procedure codes to records Request diagnosis/procedural information from physician when information is not available at the time of coding Utilize approved resources for coding purposes, i.e. CMS.gov website

Requirements

  • Education: High School diploma or equivalent
  • Knowledge of Medical Terminology, Anatomy and Physiology, CPT and/or ICD-10 PCS, and ICD10-CM coding systems
  • RHIT, RHIA, or professional coding credential required

Nice To Haves

  • Two years coding experience preferred

Responsibilities

  • Review medical records classified as inpatient, observation, treatment room, Emergency Department and ancillary
  • Assign appropriate diagnosis/procedure codes using the ICD-10 and CPT-4 classification systems.
  • Assign codes using coding books or by using the 3M/code finder computer system
  • Follow established coding guidelines when assigning diagnosis/procedure codes to records
  • Request diagnosis/procedural information from physician when information is not available at the time of coding
  • Utilize approved resources for coding purposes, i.e. CMS.gov website
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