Company :Allegheny Health NetworkJob Description : 

GENERAL OVERVIEW:

This job performs thorough medical record review to abstract medical and demographic data, interpret and apply diagnoses and procedures utilizing ICD and CPT coding systems and  assists in decreasing the average accounts receivable days.

ESSENTIAL RESPONSIBILITIES

Reviews and interprets medical information, physician treatment plans, course, and outcome to determine appropriate ICD-10 CM/CPT codes for diagnoses and procedures.  (65%)Abstracts data elements to satisfy statistical requests by the hospital, health system, medical staff, etc. and enters all coded/abstracted information into designated system.  (15%)Ensures efficient management of medical information and cash flow as it pertains to the unbilled coding report.  (10%)Keeps informed of the changes/updates in ICD-10 CM/CPT guidelines by attending appropriate training, reviewing coding clinics and other resources and implementing these updates in daily work.  (5%)Performs other duties as assigned or required. (5%)

QUALIFICATIONS:

Minimum

High School/GEDSuccessful completion of coding courses in anatomy, physiology and medical terminology 1 year of Hospital and/or Physician Coding1 year coding at mid-level facilities or clinics1 year coding major surgeries, observations and/or E/MsMedical Terminology Strong data entry skillsAn understanding of computer applications Ability to work with members of the health care teamAny of the following:Certified Coding Specialist (CCS)Registered Health Information Technician (RHIT)Registered Health Information Associate (RHIA)Certified Coding Specialist Physician (CCS-P)Certified Coding Associate (CCA)Certified Professional Coder (CPC)Certified Outpatient Coder (COC)

Preferred

Associate's Degree in Health Information Management or related field

Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job.

Compliance Requirement: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies.

As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times.  In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy. 

Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements.

Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, religion, sex, national origin, sexual orientation/gender identity or any other category protected by applicable federal, state or local law. Highmark Health and its affiliates take affirmative action to employ and advance in employment individuals without regard to race, color, religion, sex, national origin, sexual orientation/gender identity, protected veteran status or disability.

Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, age, religion, sex, national origin, sexual orientation/gender identity or any other category protected by applicable federal, state or local law. Highmark Health and its affiliates take affirmative action to employ and advance in employment individuals without regard to race, color, age, religion, sex, national origin, sexual orientation/gender identity, protected veteran status or disability. 

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