Medical Records Coder

Summit BHC

17h

About The Position

The Medial Records Coder is responsible for assigning ICD-10-PCS diagnostic and procedural codes to patient accounts codes and abstracts hospital medical records for maintenance of disease indices, internal and external reporting, research, compliance with federal, state and other regulatory agencies, and for billing and reimbursement. Uses various coding manuals and computer encoder. Confirms appropriate DRG assignments. Safeguards and preserves the confidentiality of patient identifiable information in accordance with hospital and department policy. Resolves error reports associated with billing process, identifies and reports error patterns, and, when necessary, assists in design and implementation of workflow changes to reduce billing errors.

Requirements

High school diploma or equivalent required.
Two or more years’ of medical billing/collections/coding required.
CCS, RHIT or RHIA or approved Medical Coding Certificate required.

Nice To Haves

Certificate or Associate’s Degree in medical coding or related field preferred.

Responsibilities

Assigns appropriate codes using International Classification of Disease system (ICD-10) and/or Current Procedural Terminology (CPT) for diagnosis, procedures, and services.
Correctly codes claims based on the services a patient receives in order to obtain reimbursement from insurance or government healthcare programs.
Reads and analyzes patient records, extracting precise information from documentation, test results and reports.
Requests diagnosis from physicians when not recorded on discharge and in cases where information is incomplete.
Maintains confidentiality regarding patient care information and chart contents.
Informs administrator of any incongruences noted in the chart record.
Clarifies diagnosis, conditions, and treatment information by working with the physician according to company policy and procedure as needed
Processes physician reports needed to code appropriately and accurately