Under the direction of the Business Office Manager, is
responsible for assuring that inpatient and out patient medical
records are coded and abstracted according to established criteria
utilizing available resources both automated and manual based on
documentation in the medical record provided by the attending,
consulting physicians and clinical information. Using the available
automated systems, enters coded documentation in the medical
records on a daily basis. Communicates with consultants, federal
and state organizations to validate the coding process and assure
compliance to prevent fraud and abuse related to coding and
abstracting. Validates documentation and works with the physicians
to assure proper coding and educates the medical staff regarding
DUTIES AND RESPONSIBILITIES:
1.Code diagnoses, procedures, complications and co-morbidities
for inpatients and out- patients accurately.
2.Code appropriately for ancillary services.
3.Demonstrates knowledge and remains current in regard to ICD''s
current version, CPT codes, modifiers, APCs, and DRGs.
4.Remains current with the coding and processing of records to
assure timely coding.
5.Assures that the proper documentation is available in the
medical record prior to coding. Enters codes for each provider and
assures that the record is complete to assure that it is accurately
abstracted. Follows through to assure the coding is finalized and a
claim has been generated.
6.Utilizes the available automated systems to achieve peak
efficiency and accuracy.
7.Demonstrates expertise in the use of the automated systems and
any other that may pertain to coding.
8.Maintains required certification and training in the area of
coding and abstracting.
9.Interacts positively, friendly and professionally with
physicians, patients/family, office staff, hospital staff,
medically supply and drug company representatives, insurance
companies, attorneys, worker''s compensation adjusters and
10.Identifies opportunities to teach co-workers, medical staff
and professionals regarding the documentation of medical care which
supports accurate coding.
11.Speaks clearly, concisely and with consideration and respect
in a group or one-on-one. Articulates thoughts wells and has a good
rapport with listeners. Communication is clear, concise and
understandable. Presentation is always polite, considerate and
patient. Listens well.
SKILLS AND ABILITIES:
1.Able to work independently and meet established deadlines.
2.Able to make sound reasonable decisions.
4.Ability to concentrate on many detailed requests despite
numerous interruptions and respond accordingly with an appropriate
sense of urgency.
5.Demonstrates accountability, professionalism, openness,
receptive to change, creativity and innovation.
6.Ability to identify and calmly handle inherently stressful
situations with tact.
7.Excellent communication skills.
8.Ability to develop excellent working relationships with
consumers, vendors and staff.
9.Seeks guidance, direction and assistance when needed.
Our competitive salary and benefits package includes medical and
dental insurance, 401(k), paid time off and life insurance.
EDUCATION, TRAINING AND EXPERIENCE REQUIREMENTS:
CODER CERTIFICATION REQUIRED
1.2 - 5 years in medical environment with experience coding in a
hospital environment (including orthopedics, pain management,
surgical (general, gynecological, ENT), radiology and emergency
room. Certification required. (American Health Information
Management Association (AHIMA), the American Academy of
Professional Coders (AAPC) or other nationally recognized authority
on hospital coding)
3.Must be able to communicate and understand the English
language both verbal and written.
4.Computer literate. Experience and knowledge of Advantx and
Microsoft Office product required.
5.Knowledge of medical terminology.