POSITION SUMMARY: Responsible for interacting with physicians and other patient care providers in coding admission, principle, and secondary diagnoses and coding principal and secondary procedures to promote appropriate reimbursement. Responsible for interacting with the Insurance Department for timely processing of claims. Responsible for abstracting diagnoses and procedures from medical record into the Hospital Health Information system for timely billing. Performs within the prescribed limits of the hospital's/department's Ethics and Compliance program. Responsible to detect, observe and report compliance variances to the Director of Health Information Management or upward through the chain of command, the Compliance Officer, or hospital hotline.
MINIMUM QUALIFICATIONS: Must be a Certified Coding Specialist (CCS) in ICD-9-CM Coding or Accredited Records Technician and three years of IDC-9-CM and CPT coding experience in a hospital inpatient setting or three years of coding experience in a hospital setting with validation of coding performance within the national standard. Hospital inpatient coding experience is required. Must have initiative and judgment involved in collecting and analyzing medical record data. Must have the ability to work under pressure and in conditions of continuous interruptions. Must have average written and oral communications skills. Must have computer skills.
ACCOUNTABLE TO: Director, Health Information Management