The Impact You Can Make

Codes, abstracts and validates inpatient and / or ambulatory records. Determines appropriate DRG assignment and code sequencing using ICD- 9-CM and CPT-4 coding guidelines

The Glens Falls Hospital Impact

Mission

Our Mission is to improve the health of people in our region by providing access to exceptional, affordable, and patient-centered care every day and in every setting.

How You Will Fulfill Your Potential

Responsibilities

Reviews the documentation in the hybrid medical record (electronic and paper medical record) of inpatient and / or ambulatory visits to determine the diagnoses that identify the condition(s) for the patient’s admission.
Assigns codes for all diseases and conditions documented within the current visit to reflect the Acuity of Illness, POA (present on admission) of our patients. Assigns all codes to reflect Medical Necessity for ambulatory visits.
Identifies procedures performed for treatment and assigns the appropriate ICD-9-CM and / or CPT-4 codes.
Groups the visits to the appropriate DRG / APG / APC using the 3M-Encoder and sequencing knowledge, optimizing after assignment of all complications or comorbidities (CC’s) and Major Complications or comorbidities (MCC’s) from the documentation.
Sends queries to physician “Question Table” for clarification of documentation.
Educates the physician regarding documentation requirements.

The Impact You Can Make

Codes, abstracts and validates inpatient and / or ambulatory records. Determines appropriate DRG assignment and code sequencing using ICD- 9-CM and CPT-4 coding guidelines

The Glens Falls Hospital Impact

Mission

Our Mission is to improve the health of people in our region by providing access to exceptional, affordable, and patient-centered care every day and in every setting.

How You Will Fulfill Your Potential

Responsibilities

Reviews the documentation in the hybrid medical record (electronic and paper medical record) of inpatient and / or ambulatory visits to determine the diagnoses that identify the condition(s) for the patient’s admission.
Assigns codes for all diseases and conditions documented within the current visit to reflect the Acuity of Illness, POA (present on admission) of our patients. Assigns all codes to reflect Medical Necessity for ambulatory visits.
Identifies procedures performed for treatment and assigns the appropriate ICD-9-CM and / or CPT-4 codes.
Groups the visits to the appropriate DRG / APG / APC using the 3M-Encoder and sequencing knowledge, optimizing after assignment of all complications or comorbidities (CC’s) and Major Complications or comorbidities (MCC’s) from the documentation.
Sends queries to physician “Question Table” for clarification of documentation.
Educates the physician regarding documentation requirements.