Coder

Location: Kent Campus Hospital

Status:Full Time 80 Hours

Shift: Days

SALARY RANGE: 19.08 - 28.10HOURLY

General Summary:

Abstracts clinical information from a variety of medical records, charts and documents and assigns appropriate ICD-9 /ICD-10 and/or CPT-4 codes to patient records according to established procedures. Works with coding databases and confirms DRG assignments.

Responsibilities:

1. Codes data from patient records utilizing computerized coding systems to ensure optimal reimbursement of the hospital. Translates diagnostic and procedural information into the International Classification of Diseases codes and sequences these codes in a manner which legitimately optimizes hospital reimbursement through the use of a computerized encoding and DRG grouper application.
2. Abstracts data from patients’ medical records using the computerized abstracting system in order to compile accurate and timely statistical data. The Coder reviews and analyzes all patient types to determine the principal diagnosis and procedure and other significant diagnoses and procedures, especially for those which reimbursement is DRG dependent.
3. Identifies and verifies medical and surgical complications and comorbidities as well as medical necessity. Works independently reviewing medical record documentation, laboratory reports, radiology reports, and consultation reports to identify medical conditions evaluated and treated during the visit.
4. Corrects abstracts with incorrect codes requested by Finance or third party payors to ensure compliance with required regulations and accreditation standards.
5. As needed, responds to physician inquiries that concern the proper documentation of diagnostic procedural information and questions regarding coding assignments.
6. All other duties as assigned, within the scope and range of job responsibilities.

Required Education, Credential(s) and Experience:

• Education: Certificate Program
  ; Medical Coding & Billing
  ;
  
• Credential(s): ;
• Experience: Required: Six months experience in coding or medical records using ICD and CPT coding systems.

Preferred Education, Credential(s) and Experience:

• Education:
• Credential(s):
• Experience:

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