Accounts for coding and abstracting of patient encounters, including diagnostic and procedural information, significant reportable elements, and complications. Researches and analyzes data needs for reimbursement. Analyzes medical records and identifies documentation deficiencies. Serves as a resource and subject matter expert to other coding staff.
Key responsibilities
- Review and verify documentation supports diagnoses, procedures, and treatment results.
- Audit clinical documentation and coded data for reimbursement and reporting accuracy.
- Assign codes for reimbursement, research, and compliance with regulatory requirements.
- Identify discrepancies, potential quality of care issues, and billing issues.
- Recommend and facilitate corrective action to prevent future coding errors.
- Serve as a coding consultant to care providers.
- Assist with orienting, training, mentoring staff, and special projects as needed.
Requirements & Qualifications
Experience
- Minimum 2 years of hospital licensed space certified coding experience.
Education
- High school diploma or GED required.
- Post-high school coursework in medical records administration, anatomy, physiology, and medical terminology.
Certifications
- Certified Professional Coder (CPC), Certified Coding Specialist (CCS), Registered Health Information Technician (RHIT), or Registered Health Information Administrator (RHIA).
Additional qualifications
- Experience with ICD-10, ICD-10-PCS, CPT4, and HCPCS coding systems.
- Ability to understand the clinical content of a health record.
- Knowledge of medical record department functions, diagnosis related groups, and prospective payment systems.
- Proficiency with word processing, spreadsheet, and database applications.
Preferred qualifications
- 3 years of hospital licensed space experience as a Certified Hospital Coder.
- Completion of an accredited Health Information Management program.
Location
Hawaii, US
Employment Type
Full-time
Experience Level
Intermediate Level
Remote work allowed
No
Posted
9 months ago
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