Job Description
Job Description
Job Summary: Reviews and code (ICD-10 & CPT) procedural and diagnostic information that determines Medicare, Medicaid and private insurance billing. Performs ICD-10 and CPT coding for reimbursement. Abstracts pertinent data from the health record for billing purposes. Responsible for accurate, complete, and timely completion of the health record/ billing folder.
QUALIFICATIONS:
1. One of the above Certifications
2. Six months experience in an office setting preferred.
KNOWLEDGE, SKILLS AND ABILITIES REQUIRED:CCA (Certified Coding Associate) certification or ability to complete AHIMA Coding Basics Program and obtain CCA certification. CCS or CCS-P also accepted from AHIMA or AAPC Certification (CPC)
ESSENTIAL DUTIES & RESPONSIBILITIES:
Core Competencies
Reviews the medical record for reimbursement purposes. Responsible for abstracting and coding the classification of psychiatric and medical treatments. Selecting the most accurate and descriptive code(s) from a complete listing of ICD-10 codes, and sequencing codes to optimize reimbursement.
Applies knowledge of anatomy and physiology to interpret general medical classifications for coding inpatient discharge data.
Ensures that all data abstracted and/or coded are consistent with guidelines outlined by JCAHO, OSHPD and CMS, regional and local policy.
Organizes and prioritizes all work to ensure that records are coded in timeframes that will ensure compliance with regulatory requirements and internal billing processes.
Interacts with physicians to clarify and accurately document patient diagnostic and procedural information.
Enters patient information into EMR, ensuring the accuracy and integrity of the medical record abstract or encounter data.
Performs other related duties as necessary.
day shift
40 hours weekly / 1 FTE