The position is responsible for coding medical records and other documents at the conclusion of the patient’s visit
Job Summary
The position is responsible for coding medical records and other documents at the conclusion of the patient’s visit.
This requires selection of appropriate admitting diagnosis, principal and secondary diagnoses, principal procedure and secondary procedures; assigning accurate ICD-10 and/or CPT-4 codes; sequencing the diagnoses and procedures codes; and abstracting information including admission source, type, disposition, admitting, attending and procedure attending physicians.
This staff member will maintain productivity and quality standards set for the department maintain an approved work schedule and submit a weekly volume log.
Matching Summary
The position is responsible for coding medical records and other documents at the conclusion of the patient’s visit.
Skills & Requirements
Must-have
ICD-10-CM/PCS diagnoses and procedure codes
CPT-4 procedure codes
Computer Assisted Coding/Encoder Software
Electronic medical record system (IHIS)
MS-DRG and APR-DRG assignment
Nice-to-have
Practices within Health System's policies
Adheres to Medical Center's values
Complies with AHIMA Code of Ethics
Key Requirements
Associate's Degree in Health Information Management