To ensure accurate and appropriate gathering of information into coding classification systems to meet departmental, hospital, and outside agency requirements. This role supports appropriate reimbursement, compliance, and charging in accordance with coding guidelines and regulatory agencies.
Responsible for obtaining accurate and complete documentation in the medical record for accurate coding assignment. Codes moderately complex patient classes, including ED, observation, and same-day care encounters.
Core responsibilities
- Review and interpret medical record documentation to identify diagnoses and procedures affecting the encounter.
- Assign appropriate ICD-10, CPT, and modifier codes.
- Code hospital encounters across multiple patient classes, including ED, OBS, and SDC.
- Ensure quality, timeliness, and accuracy of coding, charging, and abstraction.
- Maintain coding knowledge through review, in-services, seminars, meetings, and updates to coding manuals.
- Ensure data is accurate and complete to support a clean bill.
- Communicate with physicians and other offices as needed to obtain information required for accurate coding.
Requirements & Qualifications
Required qualifications
- High school diploma or equivalent.
- Current HIM or coding certification through AHIMA or AAPC.
- Two years of hospital coding experience.
Preferred qualifications
- Graduate of a Health Information Technology (HIT) or equivalent program, or a Medical Coding Certification Program.
Skills and abilities
- Knowledge of anatomy, physiology, and medical terminology.
- Strong written and verbal communication skills.
- Ability to concentrate and maintain accuracy during interruptions.
- Independent decision-making and prioritization skills.
- Ability to handle high-stress situations and adapt to workplace changes.
- Ability to organize and complete assigned tasks.
Location
West Virginia, US
Employment Type
Full-time
Experience Level
Intermediate Level
Remote work allowed
Yes
Posted
3 months ago