JOB SUMMARY:
Identifies reviews, interprets, codes and abstracts clinical information from inpatient and/or outpatient records for the purpose of reimbursement, data collection, and compliance with federal regulations and other agencies using established coding principles and procedures.
Minimum knowledge, skills, and abilities
- High School Graduate
- Required certification (RHIT, CPC, CCS, CCS-P)
- Overall experience will be reviewed in the event there is no certification or certification is a CCA or CPC-A. Required to have a (CPC, CCS, CCS-P) within a year.
- 3-5 years coding experience preferred.
- Preferred experience with facility/professional coding with Inpatient, Observation, Surgical (e.g. orthopedics, podiatry, spinal, colon resection, and plastics/breast)
- Knowledge of ICD-10-CM/PCS and CPT/HCPCS coding and medical necessity guidelines.
- Understanding of reimbursement methodology, federal, state and payer coding documentation and billing requirements
- Ability to read and communicate effectively in English.
- Strong written and oral communication skills.
- Strong computer knowledge with ability to learn specific coding system.
- Data entry, abstracting, indexing, data collection and statistical-gathering skills.
- Professional knowledge of various aspects of patient care, human anatomy and physiology and medical terminology.
- Ability to achieve accuracy standards of 95% after training
- Completes coding consistent with established production standards after training
- Must be self-motivated with critical attention to detail and deadlines
- Be able to work independently as well as work in a strong team environment
- Must live in the state of Iowa