The coder is responsible for abstracting all clinical and demographic data and accurately applying code assignment to inpatient, outpatient, and emergency services based on diagnoses, procedures, and conditions documented in the patient medical record.
Using a computerized encoding system, the role assigns ICD-10-CM, ICD-10-PCS, CPT/HCPCS, DRG, and APCs in accordance with official coding and reimbursement guidelines from the American Medical Association, the American Hospital Association, and the American Health Information Management Association.
Work is performed in alignment with Health Information Management department standards and approved organizational policies and procedures.
Education
- High school diploma
- ICD-10-CM, ICD-10-PCS, and CPT/HCPCS coding knowledge and/or experience
- Medical terminology knowledge
- Human anatomy and physiology knowledge
Experience and skills
- Working knowledge of ICD-10-CM, ICD-10-PCS, and CPT/HCPCS coding systems, or a strong clinical background
- High degree of clerical accuracy
- Strong organizational skills
- Statistical and data-oriented mindset
- Good interpersonal relationship skills, especially with medical staff
- Process-oriented and able to manage multiple tasks
- Ability to work quickly while maintaining a high degree of accuracy
- Computer skills desirable
- Effective communication skills
Licenses and certifications
- CCS preferred, but prior coding experience will be accepted
Location
Pennsylvania, US
Employment Type
Full-time
Experience Level
Entry Level
Remote work allowed
No
Posted
1 week ago