Responsibilities
Established in 1986, Anchor Hospital specializes in the treatment of behavioral health and addictive disease disorders for teens, adults and seniors. Our mental health facility in Atlanta, Georgia is located on a secluded, 55-acre campus, less than three miles from Hartsfield-Jackson International Airport and is accredited by the Joint Commission.
Responsible for the assignment of diagnosis and/or procedure codes for all inpatient encounters, capturing the most accurate diagnosis and/or procedures with the greatest degree of accuracy and completeness.

1. Responsible for the assignment of diagnosis and/or procedure codes for all inpatient encounters, capturing the most accurate diagnosis and/or procedures with the greatest degree of accuracy and completeness

1. Review at a minimal, the following documents in order to assign the most accurate diagnosis and/or procedure codes for inpatient encounters:

• History and Physical (H&P)
• Psychiatric Evaluation
• All progress notes
• All physician's orders
• Discharge Summary only if this would impact the DRG, for example: need for Complications and Comorbidities, etc.
• Consultation Report if indicated
• Assessment Department documentation
• Laboratory results, if order
• Nursing Discharge Note for patient that are transferred
• Medication

1. Adheres to the Official Guidelines for Coding and Reporting, developed by the cooperating parties and documented in Coding Clinic for ICD-9-CM, published by the American Hospital Association.

1. Adopts as evidenced by signature, AHIMA's Standards of Ethical Coding.

1. Use the Physician Query Form to obtain clarification from the attending physician on any coding questions, including the reference to source documentation.

1. Assemble medical records at discharge.

1. Analyze medical records at discharge.

1. File medical records using terminal digit file.

1. Edit and transcribe documents.

1. File documents in the medical record.

1. Perform other duties as assigned.

1. Support facility internal and external customer service standards.

1. Follow Anchor Hospital Time and Attendance policy.

1. Will adhere to all safety policies and safe work practices.

1. Will adhere to all hospital policies and procedures.

Qualifications
Associates Degree or equivalent combination education and experience;

Two (2) years experience in Medical Records/Health Information Management in an acute care or Psychiatric hospital preferred. 1 year required.

N/A

Coding certification from AHIMA or AAPC. CCS or CPC preferred.

Must possess knowledge of medical and psychiatric terminology, basic health information department function, and an ability to use medical transcription equipment, including knowledge of word processing software, Microsoft Word, and dictation system. Working knowledge of 3M Coder system
About Universal Health Services
One of the nation's largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. Growing steadily since its inception into an esteemed Fortune 500 corporation, annual revenues were $14.3 billion in 2023. During the year, UHS was again recognized as one of the World's Most Admired Companies by Fortune; and listed in Forbes ranking of America's Largest Public Companies.
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